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Bifocal Lens, Sphere over +/-12.00d

Washington 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?

$85.11

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $107 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 7 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$85.11$58.88 to $95.50
FacilityA hospital or hospital-owned outpatient department$107$87.10 to $158

How much rates vary

Facilitymedian $107 · 10th to 90th $72 to $257Professionalmedian $85 · 10th to 90th $42 to $132
$50$200$1K$5Kfacility $107professional $85

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$269.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$218.78
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$104.71
Typical High
$114.82
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$95.50
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$134.90

Where Washington 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.

Washington· 15th of 51

$85.11

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.