go back

Ear Mold/Insert, Not Disposable

Wisconsin 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?

$61.66

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $148 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$61.66$14.13 to $69.18
FacilityA hospital or hospital-owned outpatient department$148$69.18 to $166

How much rates vary

Facilitymedian $148 · 10th to 90th $69 to $195Professionalmedian $62 · 10th to 90th $14 to $76
$20$50$100$200facility $148professional $62

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
$69.18
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$69.18
Typical High
$69.18
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$52.48
Typical High
$72.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$165.96
Typical High
$251.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$75.86
DeanCare
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
DeanCare
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$95.50
Medica
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Medica
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$102.33
Typical High
$141.25
Prevea360
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Quartz
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Security Health
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$81.28
Typical High
$81.28

Where Wisconsin 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.

Wisconsin· 12th of 51

$61.66

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.