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Insertion Tray with Drainage Bag, Silicone Foley Catheter

Utah rates for HCPCS A4315

Insertion tray with drainage bag with indwelling catheter, Foley type, two-way, all silicone

Rates data updated October 2026.

How much does Insertion Tray with Drainage Bag, Silicone Foley Catheter cost?

$21.88

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $10.00 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$21.88$15.14 to $26.92
FacilityA hospital or hospital-owned outpatient department$10.00$10.00 to $21.88

How much rates vary

Facilitymedian $10 · 10th to 90th $10 to $22Professionalmedian $22 · 10th to 90th $10 to $34
$10$20$50facility $10professional $22

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
$10.00
Median
$10.00
Typical High
$10.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$11.48
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.51
Median
$1.51
Typical High
$1.74
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.00
Median
$1.00
Typical High
$1.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$23.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$21.88
Molina
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$42.66
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Select Health
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Select Health
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$35.48
Typical High
$38.02
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$30.90
Typical High
$41.69
United
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$15.49
Typical High
$30.90

Where Utah sits

The same service costs 2.9 times more in Hawaii than in Rhode Island. 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.

Utah· 27th of 51

$21.88

HI $47.86RI $16.60

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.