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Trifocal Lens, Sphere over +/-12.00d

Massachusetts rates for HCPCS V2314

Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens

Rates data updated July 2026.

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

$105

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $126 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$105$70.79 to $112
FacilityA hospital or hospital-owned outpatient department$126$91.20 to $132

How much rates vary

Facilitymedian $126 · 10th to 90th $60 to $191Professionalmedian $105 · 10th to 90th $54 to $138
$20.0$50.0$100.0$200.0$500.0facility $126professional $105

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
$53.70
Median
$100.00
Typical High
$138.04
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$190.55
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$85.11
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$91.20
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$112.20
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$190.55
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$85.11
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$69.18
Typical High
$112.20

Where Massachusetts sits

The same service costs 1.9 times more in North Carolina than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $105 · 31st of 51
NC $138RI $70.79

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.