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Trifocal Lens, Sphere over +/-12.00d

North Carolina 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?

$138

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $151 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$138$97.72 to $151
FacilityA hospital or hospital-owned outpatient department$151$132 to $174

How much rates vary

Facilitymedian $151 · 10th to 90th $105 to $204Professionalmedian $138 · 10th to 90th $55 to $174
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $151professional $138

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
$54.95
Median
$114.82
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$125.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$186.21
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$64.57
Typical High
$87.10
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,047.13

Where North Carolina 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.

North Carolina $138 · 1st 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.