Rate Benchmarking
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Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS V2101 Fee Schedule
HCPCS V2101 is classified under Vision Services, in the Lenses, Single Vision subgroup.
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Single Vision |
| Complexity Level | Low |
| Medicaid Fee Schedule | $44.575 median of the 8 states in the free preview · View Medicaid rates for V2101 |
National average reimbursement for HCPCS V2101 by major payers:
$53.81
BCBS / Anthem
$30.51
UnitedHealthcare
$42.80
Aetna
$66.92
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V2101.
HCPCS V2101
5 of 25 sample ratesHigher to lower in this preview
Emory University Hospital
Emory University
$138.36Published rateAnna Jaques Hospital
$66.05Published rateEye Associates Of Tallahassee, P.A.
$35.45Published rateDevon Daney
Aztec Urgent Care LLC
$22.85Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$16.47Published rate
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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 V2101 vs. Other Lenses, Single Vision Codes
The table lists codes related to V2101. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| V2102-HCPCS | Low | Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, 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 V2101. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2101 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 V2101) and we'll show you how you compare in 15 minutes or less.