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Contact Lens, PMMA, Spherical

New York rates for HCPCS V2500

Contact lens, PMMA, spherical, per lens

Rates data updated July 2026.

How much does Contact Lens, PMMA, Spherical cost?

$79.43

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $158 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$79.43$64.57 to $95.50
FacilityA hospital or hospital-owned outpatient department$158$107 to $240

How much rates vary

Facilitymedian $158 · 10th to 90th $74 to $263Professionalmedian $79 · 10th to 90th $44 to $129
$2.0$10.0$50.0$200.0facility $158professional $79

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$234.42
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$107.15
Typical High
$107.15
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$288.40
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$79.43
Typical High
$109.65
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$79.43
Typical High
$173.78
Univera
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Univera
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$79.43
Typical High
$128.82

Where New York 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.

New York $79.43 · 38th 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.