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Intermittent Urinary Catheter, Straight Tip

Illinois rates for HCPCS A4351

Intermittent urinary catheter; straight tip, with or without coating (Teflon, silicone, or silicone elastomer, etc.), each

Rates data updated July 2026.

How much does Intermittent Urinary Catheter, Straight Tip cost?

$1.62

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1.62 for this service. The price depends on where it is billed: about $1.66 from a physician practice, and about $1.41 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$1.66$1.32 to $2.04
FacilityA hospital or hospital-owned outpatient department$1.41$1.41 to $2.57

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $13Professionalmedian $2 · 10th to 90th $1 to $3
$1$2$5$10$20facility $1professional $2

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
$1.41
Median
$1.41
Typical High
$2.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$1.51
Typical High
$2.57
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.58
Typical High
$1.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$14.79
Typical High
$28.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$1.95
Typical High
$1.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.51
Typical High
$2.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$3.02
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.88
Typical High
$6.03
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.31
United
Setting
Facility
Modifier
Global
Typical Low
$0.83
Median
$2.57
Typical High
$2.57
United
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$1.26
Typical High
$2.69

Where Illinois sits

The same service costs 2.7 times more in Kansas than in Colorado. 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.

Illinois· 27th of 51

$1.62

KS $2.88CO $1.07

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.