go back

Ear Mold/Insert, Not Disposable

Massachusetts rates for HCPCS V5264

Ear mold/insert, not disposable, any type

Rates data updated July 2026.

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

$51.29

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $52.48 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$51.29$47.86 to $57.54
FacilityA hospital or hospital-owned outpatient department$52.48$41.69 to $63.10

How much rates vary

Facilitymedian $52 · 10th to 90th $42 to $182Professionalmedian $51 · 10th to 90th $45 to $59
$20.0$100.0$500.0$2.0Kfacility $52professional $51

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
Professional
Modifier
Global
Typical Low
$44.67
Median
$54.95
Typical High
$60.26
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$43.65
Typical High
$63.10
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$19.95
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Health New England
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$251.19
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$43.65
Typical High
$63.10
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$43.65

Where Massachusetts sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $51.29 · 46th of 51
SD $69.18HI $48.98

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.