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Ostomy Accessory, Convex Insert

New York rates for HCPCS A5093

Ostomy accessory; convex insert

Rates data updated July 2026.

How much does Ostomy Accessory, Convex Insert cost?

$1.55

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1.55 for this service. The price depends on where it is billed: about $1.55 from a physician practice, and about $1.91 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 9 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$1.55$1.32 to $2.09
FacilityA hospital or hospital-owned outpatient department$1.91$1.66 to $2.34

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $4Professionalmedian $2 · 10th to 90th $1 to $3
$1$10$100$1K$10Kfacility $2professional $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
$1.07
Median
$1.66
Typical High
$2.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.66
Typical High
$2.34
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.55
Typical High
$3.55
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$2.04
Typical High
$2.04
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$3.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.86
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$4.17
Typical High
$9.77
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$2.51
Typical High
$4.79
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$2.00
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.91
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$2.45
Typical High
$2.95
United
Setting
Facility
Modifier
Global
Typical Low
$0.95
Median
$1.23
Typical High
$7.24
United
Setting
Professional
Modifier
Global
Typical Low
$0.98
Median
$1.66
Typical High
$4.17
Univera
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$2.00
Univera
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.91

Where New York sits

The same service costs 2.3 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.

New York· 40th of 51

$1.55

HI $2.95CO $1.26

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.