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Pessary, Reusable, Rubber

Illinois rates for HCPCS A4561

Pessary, reusable, rubber, any type

Rates data updated July 2026.

How much does Pessary, Reusable, Rubber cost?

$21.38

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $34.67 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$20.42$16.22 to $28.18
FacilityA hospital or hospital-owned outpatient department$34.67$18.62 to $148

How much rates vary

Facilitymedian $35 · 10th to 90th $16 to $347Professionalmedian $20 · 10th to 90th $13 to $41
$10$20$50$100$200facility $35professional $20

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
$16.22
Median
$18.62
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$19.50
Typical High
$35.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$64.57
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$21.88
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$33.11
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$57.54
Typical High
$81.28
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
$37.15
Median
$37.15
Typical High
$37.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$29.51
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.45
Typical High
$24.55

Where Illinois sits

The same service costs 5.1 times more in Hawaii than in Colorado. 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· 20th of 51

$21.38

HI $64.57CO $12.59

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.