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Ostomy Pouch, Closed, for Use on Faceplate

Kentucky rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Rates data updated July 2026.

How much does Ostomy Pouch, Closed, for Use on Faceplate cost?

$1.15

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1.15 for this service. The price depends on where it is billed: about $1.15 from a physician practice, and about $1.10 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$1.15$1.12 to $1.51
FacilityA hospital or hospital-owned outpatient department$1.10$1.05 to $2.75

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $1 · 10th to 90th $1 to $2
$0.02$0.1$0.5$2facility $1professional $1

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
$1.05
Median
$1.05
Typical High
$1.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$1.32
Typical High
$2.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.15
Typical High
$1.32
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$2.75
Typical High
$3.63
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.57
Typical High
$3.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$3.16
Typical High
$3.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.15
Typical High
$11.22
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.45
Typical High
$2.95
United
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$0.93
Typical High
$1.12
United
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$1.02
Typical High
$1.48

Where Kentucky sits

The same service costs 2.9 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.

Kentucky· 49th of 51

$1.15

HI $3.09CO $1.07

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.