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Scleral Contact Lens, Gas Permeable

New York rates for HCPCS V2531

Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325)

Rates data updated July 2026.

How much does Scleral Contact Lens, Gas Permeable cost?

$457

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $912 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$457$331 to $550
FacilityA hospital or hospital-owned outpatient department$912$537 to $1,202

How much rates vary

Facilitymedian $912 · 10th to 90th $372 to $1,318Professionalmedian $457 · 10th to 90th $240 to $661
$200$500$1K$2Kfacility $912professional $457

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
$239.88
Median
$478.63
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$1,318.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$1,202.26
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$537.03
Typical High
$537.03
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,445.44
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$549.54
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$630.96
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$870.96
Univera
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Univera
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$645.65

Where New York sits

The same service costs 1.7 times more in Wyoming than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 43rd of 51

$457

WY $562RI $331

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.