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Adjunctive Nonimplanted Continuous Glucose Monitor Supplies

New York 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?

$263

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $263 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 8 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$263$178 to $372
FacilityA hospital or hospital-owned outpatient department$263$219 to $269

How much rates vary

Facilitymedian $263 · 10th to 90th $204 to $372Professionalmedian $263 · 10th to 90th $145 to $407
$100$500$2K$10K$50Kfacility $263professional $263

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
$169.82
Median
$218.78
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$1,071.52
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$562.34
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$263.03
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$263.03
Typical High
$512.86
Univera
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$223.87
Typical High
$275.42
Univera
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$263.03

Where New York 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.

New York· 3rd of 51

$263

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.