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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 October 2026.

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

$83.18

Typical negotiated rate. In Virginia, October 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 $138 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$83.18$63.10 to $93.33
FacilityA hospital or hospital-owned outpatient department$138$138 to $151

How much rates vary

Facilitymedian $138 · 10th to 90th $89 to $295Professionalmedian $83 · 10th to 90th $49 to $132
$100$1K$10Kfacility $138professional $83

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$87.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$87.10
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$41.69
Median
$41.69
Typical High
$43.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.60
Median
$16.60
Typical High
$17.78
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.30
Median
$12.30
Typical High
$13.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.32
Median
$8.32
Typical High
$8.71
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$144.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
CareFirst
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$138.04
Typical High
$162.18
Medcost
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$125.89
Medcost
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$199.53
Medcost
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$83.18
Sentara
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$154.88
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$93.33
Typical High
$131.83
United
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$67.61
Typical High
$72.44

Where Virginia sits

The same service costs 2.6 times more in Hawaii than in Ohio. 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· 20th of 51

$83.18

HI $126OH $48.98

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.