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Trifocal Lens, Sphere +/-4.12-7.00d

Washington rates for HCPCS V2301

Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d per lens

Rates data updated October 2026.

How much does Trifocal Lens, Sphere +/-4.12-7.00d cost?

$77.62

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $120 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$77.62$45.71 to $617
FacilityA hospital or hospital-owned outpatient department$120$93.33 to $158

How much rates vary

Facilitymedian $120 · 10th to 90th $93 to $186Professionalmedian $78 · 10th to 90th $46 to $10,000
$20$100$500$2K$10Kfacility $120professional $78

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
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$93.33
Typical High
$95.50
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$741.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$114.82
Typical High
$190.55
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$162.18
Typical High
$257.04
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
$93.33
Median
$93.33
Typical High
$93.33
United
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$45.71
Typical High
$50.12
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$125.89
Typical High
$125.89

Where Washington sits

The same service costs 2.9 times more in Hawaii than in New York. 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· 19th of 51

$77.62

HI $120NY $41.69

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.