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Contact Lens, PMMA, Spherical

Texas rates for HCPCS V2500

Contact lens, PMMA, spherical, per lens

Rates data updated July 2026.

How much does Contact Lens, PMMA, Spherical cost?

$87.10

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $95.50 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$85.11$69.18 to $102
FacilityA hospital or hospital-owned outpatient department$95.50$81.28 to $123

How much rates vary

Facilitymedian $95 · 10th to 90th $74 to $174Professionalmedian $85 · 10th to 90th $44 to $107
$100.0$1.0K$10.0K$100.0K$1.0Mfacility $95professional $85

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
$44.67
Median
$89.13
Typical High
$107.15
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$977.24
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$123.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$125.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$57.54
Typical High
$57.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$123.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$60.26
Typical High
$69.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$169.82

Where Texas 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.

Texas $87.10 · 6th 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.