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Prism

New York rates for HCPCS V2715

Prism, per lens

Rates data updated July 2026.

How much does Prism cost?

$11.22

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $23.99 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$11.22$9.12 to $13.18
FacilityA hospital or hospital-owned outpatient department$23.99$15.49 to $33.88

How much rates vary

Facilitymedian $24 · 10th to 90th $11 to $38Professionalmedian $11 · 10th to 90th $6 to $19
$10$20$50facility $24professional $11

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
$5.75
Median
$11.22
Typical High
$14.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$38.02
Typical High
$38.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$7.94
Typical High
$33.88
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$15.49
Typical High
$15.49
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
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
$6.76
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$25.12
Typical High
$40.74
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$10.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$18.62
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$11.48
Typical High
$25.12
Univera
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Univera
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$10.72
Typical High
$18.62

Where New York 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.

New York· 36th of 51

$11.22

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.