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Ostomy Pouch, Drainable, Barrier with Flange

Tennessee 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?

$2.34

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $2.34 for this service. The price depends on where it is billed: about $2.34 from a physician practice, and about $3.39 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 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$2.34$1.95 to $2.88
FacilityA hospital or hospital-owned outpatient department$3.39$2.19 to $79.43

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $85Professionalmedian $2 · 10th to 90th $1 to $3
$1.0$2.0$5.0$10.0$20.0$50.0facility $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
$1.95
Median
$2.19
Typical High
$3.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$2.34
Typical High
$3.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$2.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$3.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$2.29
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$28.18
Typical High
$28.18
United
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$1.74
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$1.78
Typical High
$2.19

Where Tennessee 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.

Tennessee $2.34 · 36th 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.