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Adjunctive Nonimplanted Continuous Glucose Monitor Supplies

Pennsylvania 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?

$195

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $126 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 7 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$195$151 to $219
FacilityA hospital or hospital-owned outpatient department$126$126 to $219

How much rates vary

Facilitymedian $126 · 10th to 90th $126 to $269Professionalmedian $195 · 10th to 90th $129 to $251
$200facility $126professional $195

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
$125.89
Median
$125.89
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$245.47
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
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
Professional
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$602.56
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$218.78
Typical High
$269.15
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$251.19

Where Pennsylvania 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.

Pennsylvania· 31st of 51

$195

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.