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Irrigation Tubing Set for Continuous Bladder Irrigation

North Carolina rates for HCPCS A4355

Irrigation tubing set for continuous bladder irrigation through a three-way indwelling Foley catheter, each

Rates data updated July 2026.

How much does Irrigation Tubing Set for Continuous Bladder Irrigation cost?

$9.55

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $12.02 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$9.55$7.76 to $10.96
FacilityA hospital or hospital-owned outpatient department$12.02$8.91 to $20.42

How much rates vary

Facilitymedian $12 · 10th to 90th $6 to $123Professionalmedian $10 · 10th to 90th $5 to $11
$5$10$20$50$100facility $12professional $10

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
$10.96
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$10.96
Typical High
$10.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$18.62
Typical High
$24.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$6.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.13
Typical High
$6.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.31
Typical High
$8.71
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$10.96
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$8.13
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.17
Typical High
$8.91
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$93.33

Where North Carolina sits

The same service costs 2.6 times more in Hawaii 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.

North Carolina· 11th of 51

$9.55

HI $13.80CO $5.37

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.