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Adjunctive Nonimplanted Continuous Glucose Monitor Supplies

Texas 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?

$174

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $170 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 9 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$170$120 to $200
FacilityA hospital or hospital-owned outpatient department$269$200 to $355

How much rates vary

Facilitymedian $269 · 10th to 90th $170 to $575Professionalmedian $170 · 10th to 90th $120 to $240
$100$200$500$1Kfacility $269professional $170

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
$141.25
Median
$199.53
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$199.53
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,344.23
Typical High
$2,344.23
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$457.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$281.84
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$263.03
Typical High
$263.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$457.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$239.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$524.81

Where Texas 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.

Texas· 46th of 51

$174

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.