go back

Ear Mold/Insert, Not Disposable

Illinois rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Rates data updated October 2026.

How much does Ear Mold/Insert, Not Disposable cost?

$95.50

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $1,259 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$93.33$57.54 to $191
FacilityA hospital or hospital-owned outpatient department$1,259$95.50 to $1,778

How much rates vary

Facilitymedian $1,259 · 10th to 90th $58 to $2,692Professionalmedian $93 · 10th to 90th $58 to $191
$20$50$100$200$500$1K$2Kfacility $1,259professional $93

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$57.54
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$1,513.56
Typical High
$3,019.95
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Hally Health
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$93.33
Typical High
$199.53
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$39.81
Typical High
$60.26

Where Illinois sits

The same service costs 575.4 times more in New York than in Vermont. 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· 3rd of 51

$95.50

NY $8,128VT $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.