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Trifocal Lens, Sphere Plano to +/-4.00d, Cylinder 4.25-6.00d

Pennsylvania rates for HCPCS V2305

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens

Rates data updated July 2026.

How much does Trifocal Lens, Sphere Plano to +/-4.00d, Cylinder 4.25-6.00d cost?

$83.18

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $83.18 for this service. Most negotiated rates run $64.57 to $89.13.

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 11 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $347 · 10th to 90th $120 to $468Professionalmedian $83 · 10th to 90th $41 to $102
$20.0$50.0$100.0$200.0$500.0facility $347professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$83.18
Typical High
$102.33
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$239.88
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$120.23
Independence Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$83.18
Typical High
$102.33
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$467.74
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$58.88
Typical High
$91.20

Where Pennsylvania sits

The same service costs 1.6 times more in Minnesota than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $83.18 · 10th of 51
MN $87.10HI $54.95

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.