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Ear Mold/Insert, Not Disposable

New York 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?

$57.54

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $57.54 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 9 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$57.54$48.98 to $60.26
FacilityA hospital or hospital-owned outpatient department$57.54$57.54 to $57.54

How much rates vary

Facilitymedian $58 · 10th to 90th $30 to $58Professionalmedian $58 · 10th to 90th $48 to $8,511
$100$1K$10Kfacility $58professional $58

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
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$57.54
Typical High
$69.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$9,772.37
Typical High
$16,982.44
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$75.86
Typical High
$75.86
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$39.81
Typical High
$60.26
Univera
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Univera
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$75.86
Typical High
$75.86

Where New York sits

Rates are fairly even across states for this service. 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.

New York· 42nd of 51

$57.54

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.