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Trifocal Lens, Sphere over +/-12.00d

New York 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?

$97.72

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $240 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 9 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$97.72$70.79 to $126
FacilityA hospital or hospital-owned outpatient department$240$115 to $257

How much rates vary

Facilitymedian $240 · 10th to 90th $79 to $282Professionalmedian $98 · 10th to 90th $54 to $151
$2.0$10.0$50.0$200.0facility $240professional $98

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
$141.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$281.84
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$245.47
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$114.82
Typical High
$114.82
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
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
$63.10
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$154.88
Typical High
$263.03
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$117.49
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$85.11
Typical High
$186.21
Univera
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Univera
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$138.04

Where New York 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.

New York $97.72 · 45th 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.