go back

Adjunctive Nonimplanted Continuous Glucose Monitor Supplies

Idaho rates for HCPCS A4238

Supply allowance for adjunctive, nonimplanted continuous glucose monitor (CGM), includes all supplies and accessories, 1 month supply = 1 unit of service

Rates data updated July 2026.

How much does Adjunctive Nonimplanted Continuous Glucose Monitor Supplies cost?

$214

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $269 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$214$145 to $251
FacilityA hospital or hospital-owned outpatient department$269$251 to $355

How much rates vary

Facilitymedian $269 · 10th to 90th $209 to $437Professionalmedian $214 · 10th to 90th $135 to $363
$100$200$500facility $269professional $214

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
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$223.87
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Select Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$724.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$354.81
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$144.54

Where Idaho sits

The same service costs 1.9 times more in Oregon than in Oklahoma. 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.

Idaho· 14th of 51

$214

OR $275OK $145

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.