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Hearing Device Candidacy Or Outcome Evaluation, First Hour

Illinois rates for HCPCS 92626

This is an in-depth hearing evaluation, lasting up to an hour, used either to determine whether someone is a good candidate for a surgically implanted hearing device, such as a cochlear implant, or to assess how well the device is working after it has been placed. It goes beyond a standard hearing test to look specifically at candidacy or device performance. Additional time beyond the first hour is billed separately.

Rates data updated July 2026.

How much does Hearing Device Candidacy Or Outcome Evaluation, First Hour cost?

$83.18

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $117 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$83.18$74.13 to $97.72
FacilityA hospital or hospital-owned outpatient department$117$117 to $138

How much rates vary

Facilitymedian $117 · 10th to 90th $98 to $138Professionalmedian $83 · 10th to 90th $68 to $129
$100$200$500facility $117professional $83

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
$117.49
Median
$117.49
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$93.33
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$162.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$117.49
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$87.10
Typical High
$151.36

Where Illinois sits

Rates are fairly even across states for this service. 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· 27th of 51

$83.18

MT $115DE $77.62

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.