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 V2221 Fee Schedule
HCPCS V2221 is classified under Vision Services, in the Lenses, Bifocals subgroup.
Lenticular lens, per lens, bifocal
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Bifocals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $85.915 median of the 8 states in the free preview · View Medicaid rates for V2221 |
National average reimbursement for HCPCS V2221 by major payers:
$106.33
BCBS / Anthem
$63.61
UnitedHealthcare
$88.74
Aetna
$132.50
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V2221.
HCPCS V2221
5 of 25 sample ratesHigher to lower in this preview
Atl Colorectal Surgery
$130.72Published rateTift Regional Health System Inc., Tift Regional Medical Center
Tift Regional Health System Inc
$78.31Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$52.88Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$50.29Published rateAlicia Encinas
Miguel A Arenas Md PC
$35.25Published 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 V2221 vs. Other Lenses, Bifocals Codes
The table lists codes related to V2221. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2220-HCPCS | Low | Bifocal add over 3.25d |
| V2221-HCPCS | Low | Lenticular lens, per lens, bifocal |
| V2299-HCPCS | Low | Specialty bifocal (by report) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2221. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2221 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 V2221) and we'll show you how you compare in 15 minutes or less.