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Bifocal Lens, Sphere over +/-12.00d

Virginia rates for HCPCS V2214

Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens

Rates data updated July 2026.

How much does Bifocal Lens, Sphere over +/-12.00d cost?

$83.18

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $102 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$83.18$64.57 to $89.13
FacilityA hospital or hospital-owned outpatient department$102$89.13 to $120

How much rates vary

Facilitymedian $102 · 10th to 90th $78 to $138Professionalmedian $83 · 10th to 90th $42 to $110
$50$100$200$500facility $102professional $83

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$83.18
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$131.83
Typical High
$234.42
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$162.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$125.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$89.13
Typical High
$138.04
Medcost
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$77.62
Sentara
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$138.04
Sentara
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$67.61
Typical High
$81.28

Where Virginia sits

The same service costs 1.5 times more in Wyoming than in Kansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 34th of 51

$83.18

WY $100KS $64.57

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.