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Nonstandard Size or Width

Illinois rates for HCPCS L3254

Nonstandard size or width

Rates data updated July 2026.

How much does Nonstandard Size or Width cost?

$14.13

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $56.23 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$14.13$14.13 to $34.67
FacilityA hospital or hospital-owned outpatient department$56.23$14.13 to $138

How much rates vary

Facilitymedian $56 · 10th to 90th $14 to $302Professionalmedian $14 · 10th to 90th $14 to $35
$10.0$20.0$50.0$100.0$200.0$500.0facility $56professional $14

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
$14.13
Median
$14.13
Typical High
$14.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$16.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$117.49
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$10.72
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$30.90
Typical High
$35.48
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$52.48

Where Illinois sits

The same service costs 9.8 times more in Kansas than in Alabama. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $14.13 · 43rd of 51
KS $138AL $14.13

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.