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Contact Lens, PMMA, Spherical

Massachusetts rates for HCPCS V2500

Contact lens, PMMA, spherical, per lens

Rates data updated July 2026.

How much does Contact Lens, PMMA, Spherical cost?

$81.28

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $100 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$81.28$56.23 to $89.13
FacilityA hospital or hospital-owned outpatient department$100$72.44 to $105

How much rates vary

Facilitymedian $100 · 10th to 90th $60 to $151Professionalmedian $81 · 10th to 90th $41 to $107
$50.0$100.0$200.0$500.0facility $100professional $81

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
$79.43
Typical High
$107.15
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$100.00
Typical High
$151.36
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$72.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$89.13
Typical High
$89.13
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$100.00
Typical High
$151.36
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$89.13

Where Massachusetts sits

The same service costs 1.7 times more in Montana than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $81.28 · 32nd of 51
MT $107RI $64.57

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.