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Pessary, Reusable, Rubber

New York rates for HCPCS A4561

Pessary, reusable, rubber, any type

Rates data updated July 2026.

How much does Pessary, Reusable, Rubber cost?

$16.60

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $22.39 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 9 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$15.85$12.59 to $26.30
FacilityA hospital or hospital-owned outpatient department$22.39$15.85 to $31.62

How much rates vary

Facilitymedian $22 · 10th to 90th $12 to $155Professionalmedian $16 · 10th to 90th $12 to $41
$10$100$1K$10Kfacility $22professional $16

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
$12.02
Median
$26.30
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$16.98
Typical High
$38.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$13.18
Typical High
$38.02
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$23.44
Typical High
$23.44
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$23.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$33.88
Typical High
$85.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$33.88
Typical High
$54.95
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$17.78
Typical High
$19.95
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$26.92
Typical High
$32.36
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$14.79
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$19.50
Typical High
$89.13
Univera
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$16.60
Typical High
$18.62
Univera
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$17.78

Where New York sits

The same service costs 5.1 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.

New York· 45th of 51

$16.60

HI $64.57CO $12.59

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.