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Custom Artificial Outer Ear Fitting

Arizona rates for HCPCS 21086

Custom fitting and creation of an artificial outer ear worn by someone who is missing part or all of an ear due to injury, surgery for cancer, or a condition present from birth. The prosthesis is shaped and colored to match the person's other ear and is typically held in place with adhesive, a clip, or a small attachment anchored to the skull.

Rates data updated July 2026.

How much does Custom Artificial Outer Ear Fitting cost?

$1,738

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $2,239 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 5 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$1,698$1,445 to $2,455
FacilityA hospital or hospital-owned outpatient department$2,239$1,585 to $4,571

How much rates vary

Facilitymedian $2,239 · 10th to 90th $1,175 to $6,918Professionalmedian $1,698 · 10th to 90th $1,288 to $3,890
$500$1K$2K$5K$10Kfacility $2,239professional $1,698

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
$1,258.93
Median
$1,659.59
Typical High
$3,890.45
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,862.09
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,949.84
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,862.09
Typical High
$3,235.94
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,041.74
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,290.87
Typical High
$11,748.98
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,623.41
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,698.24
Typical High
$2,884.03

Where Arizona sits

The same service costs 2.4 times more in Alaska than in Delaware. 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.

Arizona· 32nd of 51

$1,738

AK $3,631DE $1,514

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.