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 V2511 Fee Schedule
HCPCS V2511 is classified under Vision Services, in the Assorted Contact Lenses subgroup.
Contact lens, gas permeable, toric, prism ballast, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Assorted Contact Lenses |
| Complexity Level | Low |
| Medicaid Fee Schedule | $165.56 median of the 8 states in the free preview · View Medicaid rates for V2511 |
National average reimbursement for HCPCS V2511 by major payers:
$195.48
BCBS / Anthem
$119.82
UnitedHealthcare
$166.00
Aetna
$271.91
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V2511.
HCPCS V2511
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$469.73Published rateJoshua Trafton
Eye Associates Of Tallahassee, P.A.
$136.95Published rateBacon County Health Services, Inc.
Bacon County Health Services Inc
$95.45Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$88.26Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$63.63Published 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 V2511 vs. Other Assorted Contact Lenses Codes
The table lists codes related to V2511. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2510-HCPCS | Low | Contact lens, gas permeable, spherical, per lens |
| V2511-HCPCS | Low | Contact lens, gas permeable, toric, prism ballast, per lens |
| V2512-HCPCS | Moderate | Contact lens, gas permeable, bifocal, 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 V2511. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2511 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 V2511) and we'll show you how you compare in 15 minutes or less.