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Electrically Assisted Ejaculation

Illinois rates for HCPCS 55870

Uses a gentle electrical stimulus delivered through a probe placed in the rectum to bring on ejaculation so that semen can be collected. It is used for men who cannot ejaculate on their own, often after a spinal cord injury or nerve damage, when semen is needed for fertility treatment.

Rates data updated July 2026.

How much does Electrically Assisted Ejaculation cost?

$251

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $1,259 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 6 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$219$166 to $302
FacilityA hospital or hospital-owned outpatient department$1,259$437 to $2,692

How much rates vary

Facilitymedian $1,259 · 10th to 90th $195 to $5,129Professionalmedian $219 · 10th to 90th $141 to $380
$200$500$1K$2K$5K$10Kfacility $1,259professional $219

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
Facility
Modifier
Global
Typical Low
$194.98
Median
$1,258.93
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,318.26
Typical High
$3,090.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$218.78
Typical High
$331.13
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$269.15
Typical High
$977.24
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$177.83
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,380.38
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$363.08

Where Illinois sits

The same service costs 14.1 times more in California than in West Virginia. 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.

Illinois· 21st of 51

$251

CA $2,455WV $174

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.