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Prism

Oregon rates for HCPCS V2715

Prism, per lens

Rates data updated July 2026.

How much does Prism cost?

$13.18

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $16.60 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 7 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$12.30$9.55 to $14.13
FacilityA hospital or hospital-owned outpatient department$16.60$13.80 to $16.98

How much rates vary

Facilitymedian $17 · 10th to 90th $12 to $17Professionalmedian $12 · 10th to 90th $6 to $16
$10$100$1K$10K$100K$1Mfacility $17professional $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
$5.75
Median
$12.02
Typical High
$15.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$30.20
Typical High
$38.02
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$13.49
Typical High
$17.38
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$13.80
Typical High
$19.05
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$16.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$14.13
Typical High
$19.05
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$16.22
Typical High
$2,570,395.78
United
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.92
Typical High
$13.18

Where Oregon 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.

Oregon· 5th of 51

$13.18

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.