Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS V2100 Fee Schedule
HCPCS V2100 is classified under Vision Services, in the Lenses, Single Vision subgroup.
Sphere, single vision, plano to plus or minus 4.00, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Single Vision |
| Complexity Level | Low |
| Medicaid Fee Schedule | $42.81 median of the 8 states in the free preview · View Medicaid rates for V2100 |
National average reimbursement for HCPCS V2100 by major payers:
$51.88
BCBS / Anthem
$28.89
UnitedHealthcare
$37.70
Aetna
$69.38
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V2100.
HCPCS V2100
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$86.02Published ratePhoebe Worth Medical Center, Inc, Phoebe Worth Medical Center, Inc
Phoebe Worth Medical Center Inc
$39.56Published rateUjuka Iloabuchi
Atlanta Womens Health Group, P.C.
$23.45Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$22.47Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$15.64Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS V2100 vs. Other Lenses, Single Vision Codes
The table lists codes related to V2100. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2025-HCPCS | Low | Deluxe frame |
| V2100-HCPCS | Low | Sphere, single vision, plano to plus or minus 4.00, per lens |
| V2101-HCPCS | Low | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2100 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS V2100) and we'll show you how you compare in 15 minutes or less.