go back

Ostomy Pouch, Drainable, Barrier with Flange

Minnesota rates for HCPCS A5063

Ostomy pouch, drainable; for use on barrier with flange (two-piece system), each

Rates data updated July 2026.

How much does Ostomy Pouch, Drainable, Barrier with Flange cost?

$3.80

Typical negotiated rate. In Minnesota, 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 $11.48 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$3.80$3.09 to $3.80
FacilityA hospital or hospital-owned outpatient department$11.48$4.17 to $16.98

How much rates vary

Facilitymedian $11 · 10th to 90th $2 to $32Professionalmedian $4 · 10th to 90th $2 to $4
$0.1$1.0$10.0$100.0facility $11professional $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
$2.40
Median
$2.40
Typical High
$2.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$2.40
Typical High
$2.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$4.47
Typical High
$6.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.80
Typical High
$3.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$14.79
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.13
Typical High
$5.75
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$16.22
Typical High
$31.62
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$4.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$3.80
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.82
Typical High
$4.07
United
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$1.45
Typical High
$1.74
United
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.86
Typical High
$5.25

Where Minnesota 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.

Minnesota $3.80 · 3rd of 51
HI $3.89CO $1.82

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.