go back

Ostomy Pouch, Closed, with Barrier Attached (One Piece)

North Carolina rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Closed, with Barrier Attached (One Piece) cost?

$2.19

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2.19 for this service. The price depends on where it is billed: about $2.19 from a physician practice, and about $2.51 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$2.19$1.95 to $2.51
FacilityA hospital or hospital-owned outpatient department$2.51$2.00 to $3.39

How much rates vary

Facilitymedian $3 · 10th to 90th $1 to $5Professionalmedian $2 · 10th to 90th $1 to $3
$1$2$5$10$20$50facility $3professional $2

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
$2.51
Median
$2.51
Typical High
$2.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.51
Typical High
$2.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.89
Typical High
$4.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$2.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$1.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.48
Typical High
$2.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.45
Typical High
$2.04
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$2.57
Typical High
$4.27
United
Setting
Facility
Modifier
Global
Typical Low
$0.98
Median
$1.86
Typical High
$2.95
United
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.41
Typical High
$2.04
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$21.38

Where North Carolina 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.

North Carolina· 16th of 51

$2.19

KS $3.16CO $1.41

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.