go back

Ostomy Pouch, Urinary, Barrier with Flange

Utah rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Rates data updated July 2026.

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

$3.09

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $3.09 for this service. The price depends on where it is billed: about $3.16 from a physician practice, and about $1.23 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$3.16$2.24 to $4.68
FacilityA hospital or hospital-owned outpatient department$1.23$1.23 to $1.51

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $3 · 10th to 90th $1 to $19
$0.1$1.0$10.0facility $1professional $3

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
$1.23
Median
$1.23
Typical High
$1.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$2.88
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$2.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$3.39
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.55
Typical High
$5.01
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.09
Typical High
$4.90
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$4.47
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$4.17
Typical High
$4.47
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.47
Typical High
$5.01
United
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.74
Typical High
$2.04
United
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.86
Typical High
$3.39

Where Utah sits

The same service costs 2.4 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Utah $3.09 · 20th of 51
HI $5.13CO $2.14

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.