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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 October 2026.

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

$85.11

Typical negotiated rate. In Washington, October 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 $129 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$85.11$50.12 to $631
FacilityA hospital or hospital-owned outpatient department$129$102 to $162

How much rates vary

Facilitymedian $129 · 10th to 90th $102 to $204Professionalmedian $85 · 10th to 90th $49 to $10,000
$20$100$500$2K$10Kfacility $129professional $85

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
$85.11
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$102.33
Typical High
$102.33
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$977.24
Cigna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$125.89
Typical High
$208.93
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$102.33
Typical High
$117.49
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$177.83
Typical High
$281.84
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
United
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$50.12
Typical High
$50.12
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$138.04
Typical High
$138.04

Where Washington 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.

Washington· 17th of 51

$85.11

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.