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Prism

Virginia rates for HCPCS V2715

Prism, per lens

Rates data updated July 2026.

How much does Prism cost?

$9.77

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $11.48 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 8 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$9.77$7.94 to $12.30
FacilityA hospital or hospital-owned outpatient department$11.48$9.77 to $14.13

How much rates vary

Facilitymedian $11 · 10th to 90th $9 to $17Professionalmedian $10 · 10th to 90th $6 to $14
$5$10$20$50facility $11professional $10

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
$9.77
Typical High
$13.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$18.20
Typical High
$32.36
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.45
Typical High
$17.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$13.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$10.72
Typical High
$16.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$10.96
Sentara
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$11.75
Typical High
$15.14
Sentara
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.75
Typical High
$15.14
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.41
Typical High
$10.00

Where Virginia 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.

Virginia· 47th of 51

$9.77

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.