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Ear Mold/Insert, Not Disposable

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $48.98 to $57.54.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $316 · 10th to 90th $302 to $407Professionalmedian $58 · 10th to 90th $47 to $69
$20$50$100$200facility $316professional $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. 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
$47.86
Median
$57.54
Typical High
$69.18
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$57.54
Typical High
$83.18
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$316.23
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$39.81
Typical High
$60.26

Where Pennsylvania 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.

Pennsylvania· 39th 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.