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Enlargement of Ocular Prosthesis

Illinois rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated July 2026.

How much does Enlargement of Ocular Prosthesis cost?

$398

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $398 for this service. Most negotiated rates run $316 to $490.

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.

How much rates vary

Facilitymedian $468 · 10th to 90th $468 to $468Professionalmedian $398 · 10th to 90th $186 to $724
$200$500$1K$2Kfacility $468professional $398

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$398.11
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$707.95
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$275.42
Typical High
$380.19

Where Illinois sits

The same service costs 2.2 times more in Wyoming than in Rhode Island. 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· 13th of 51

$398

WY $501RI $229

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.