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Ostomy Belt

Utah rates for HCPCS A4367

Ostomy belt, each

Rates data updated October 2026.

How much does Ostomy Belt cost?

$6.17

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $6.17 for this service. The price depends on where it is billed: about $6.61 from a physician practice, and about $2.82 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$6.61$4.37 to $7.59
FacilityA hospital or hospital-owned outpatient department$2.82$2.82 to $6.17

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $6Professionalmedian $7 · 10th to 90th $3 to $10
$5$10$20facility $3professional $7

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
$2.82
Median
$2.82
Typical High
$2.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.42
Median
$0.42
Typical High
$0.48
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.28
Median
$0.28
Typical High
$0.32
Cigna
Setting
Facility
Modifier
None
Typical Low
$6.17
Median
$6.17
Typical High
$6.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$5.25
Typical High
$6.17
Molina
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$7.59
Typical High
$10.23
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
Select Health
Setting
Facility
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
Select Health
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$10.00
Typical High
$10.47
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$8.51
Typical High
$11.75
United
Setting
Professional
Modifier
None
Typical Low
$3.39
Median
$4.37
Typical High
$8.51

Where Utah sits

The same service costs 2.1 times more in Hawaii than in Connecticut. 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· 33rd of 51

$6.17

HI $10.72CT $5.13

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.