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Pennsylvania rates for HCPCS V2715

Prism, per lens

Facilitymedian $15 · 10th–90th $15–$280%50%90th$15Professionalmedian $11 · 10th–90th $6–$140%20%10th90th$11$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.96 / $12.88
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $27.54 / $40.74
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.75 / $15.14
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.96 / $12.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.13 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.41 / $12.30