go back

Ostomy Barrier with Flange, Extended Wear, Flat, up to 4x4

North Carolina rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Rates data updated July 2026.

How much does Ostomy Barrier with Flange, Extended Wear, Flat, up to 4x4 cost?

$6.92

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $6.92 for this service. The price depends on where it is billed: about $6.61 from a physician practice, and about $7.76 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 7 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$6.61$5.50 to $7.59
FacilityA hospital or hospital-owned outpatient department$7.76$6.17 to $9.55

How much rates vary

Facilitymedian $8 · 10th to 90th $4 to $14Professionalmedian $7 · 10th to 90th $4 to $8
$5$10$20$50facility $8professional $7

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
$7.59
Median
$7.76
Typical High
$7.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$7.59
Typical High
$7.59
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.17
Typical High
$8.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$11.75
Typical High
$12.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$7.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$5.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.37
Typical High
$6.17
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$7.76
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$5.62
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.17
Typical High
$6.17
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$64.57

Where North Carolina sits

The same service costs 2.1 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· 16th of 51

$6.92

HI $8.91CO $4.17

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.