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Ostomy Pouch, Urinary, Barrier Attached, Faucet Tap

Illinois rates for HCPCS A4431

Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Urinary, Barrier Attached, Faucet Tap cost?

$5.50

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $5.50 for this service. The price depends on where it is billed: about $5.50 from a physician practice, and about $8.91 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$5.50$4.90 to $8.71
FacilityA hospital or hospital-owned outpatient department$8.91$4.90 to $21.38

How much rates vary

Facilitymedian $9 · 10th to 90th $5 to $50Professionalmedian $5 · 10th to 90th $4 to $12
$5$10$20$50$100facility $9professional $5

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
$4.90
Median
$4.90
Typical High
$8.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.37
Typical High
$8.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$21.88
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$9.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$9.55
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$13.49
Typical High
$17.38
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
$11.22
Median
$11.22
Typical High
$11.22
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
United
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$8.91
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$4.37
Typical High
$7.59

Where Illinois sits

The same service costs 2.2 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· 33rd of 51

$5.50

KS $9.55CO $4.37

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.