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Prism

North Carolina rates for HCPCS V2715

Prism, per lens

Rates data updated July 2026.

How much does Prism cost?

$12.02

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $12.30 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 6 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$11.75$9.77 to $12.88
FacilityA hospital or hospital-owned outpatient department$12.30$11.48 to $14.45

How much rates vary

Facilitymedian $12 · 10th to 90th $10 to $18Professionalmedian $12 · 10th to 90th $6 to $14
$5$10$20$50$100facility $12professional $12

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
$6.17
Median
$11.75
Typical High
$13.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.13
Typical High
$14.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$20.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$12.30
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.31
Typical High
$7.41
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$100.00
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04

Where North Carolina sits

The same service costs 1.5 times more in Minnesota 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.

North Carolina· 16th of 51

$12.02

MN $13.80RI $8.91

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.