go back

Scleral Cover Shell

Illinois rates for HCPCS V2627

Scleral cover shell

Rates data updated October 2026.

How much does Scleral Cover Shell cost?

$1,202

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $3,548 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,202$977 to $2,570
FacilityA hospital or hospital-owned outpatient department$3,548$2,344 to $9,120

How much rates vary

Facilitymedian $3,548 · 10th to 90th $2,089 to $20,417Professionalmedian $1,202 · 10th to 90th $776 to $2,570
$1K$2K$5K$10K$20Kfacility $3,548professional $1,202

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,202.26
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$549.54
Median
$602.56
Typical High
$707.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$218.78
Median
$239.88
Typical High
$288.40
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$165.96
Median
$177.83
Typical High
$213.80
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$109.65
Median
$120.23
Typical High
$144.54
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$4,265.80
Typical High
$22,908.68
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,698.24
Typical High
$3,090.30
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$812.83
Typical High
$933.25

Where Illinois sits

The same service costs 2.7 times more in Montana than in New Jersey. 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· 25th of 51

$1,202

MT $2,042NJ $759

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.