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

North Carolina rates for HCPCS A5061

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

Rates data updated July 2026.

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

$3.80

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3.80 for this service. The price depends on where it is billed: about $3.80 from a physician practice, and about $4.37 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$3.80$3.16 to $4.37
FacilityA hospital or hospital-owned outpatient department$4.37$3.31 to $5.50

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $10Professionalmedian $4 · 10th to 90th $2 to $4
$0.1$1.0$10.0$100.0facility $4professional $4

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
$4.37
Median
$4.37
Typical High
$4.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$4.37
Typical High
$4.37
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$7.24
Typical High
$9.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$4.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$3.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$3.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.45
Typical High
$3.55
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$4.37
Typical High
$7.24
United
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$3.16
Typical High
$5.01
United
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.40
Typical High
$3.47
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$37.15

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. Pick one to see its carriers and full range.

North Carolina $3.80 · 17th of 51
HI $5.01CO $2.40

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.