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Prism

Washington rates for HCPCS V2715

Prism, per lens

Rates data updated July 2026.

How much does Prism cost?

$12.02

Typical negotiated rate. In Washington, 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 $16.98 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$11.75$8.91 to $14.13
FacilityA hospital or hospital-owned outpatient department$16.98$11.75 to $22.39

How much rates vary

Facilitymedian $17 · 10th to 90th $10 to $37Professionalmedian $12 · 10th to 90th $6 to $21
$10$100$1K$10Kfacility $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
$11.22
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$16.98
Typical High
$39.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$16.60
Typical High
$30.20
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$16.98
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.92
Typical High
$13.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79

Where Washington 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.

Washington· 14th 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.