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Ear Mold/Insert, Not Disposable

Utah 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?

$48.98

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $48.98 for this service. Most negotiated rates run $14.13 to $48.98.

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.

How much rates vary

Facilitymedian $49 · 10th to 90th $49 to $49Professionalmedian $49 · 10th to 90th $14 to $51
$20$100$500$2Kfacility $49professional $49

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
$48.98
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$57.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$48.98
Typical High
$48.98
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Select Health
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87

Where Utah 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.

Utah· 35th of 51

$48.98

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.