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Stoma Cap

Alaska rates for HCPCS A5055

Stoma cap

Rates data updated July 2026.

How much does Stoma Cap cost?

$1.74

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $1.74 for this service. The price depends on where it is billed: about $1.74 from a physician practice, and about $0.55 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$1.74$0.87 to $1.95
FacilityA hospital or hospital-owned outpatient department$0.55$0.55 to $1.86

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $2 · 10th to 90th $1 to $3
$1$2$5facility $1professional $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
Professional
Modifier
Global
Typical Low
$0.59
Median
$1.51
Typical High
$2.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.20
Typical High
$1.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.02
Typical High
$2.24
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.55
Median
$0.55
Typical High
$2.14
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.69
Typical High
$6.46
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$1.91
Typical High
$1.91
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.91
Typical High
$2.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.55
Median
$0.55
Typical High
$2.14
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.48
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$0.78
Typical High
$0.78
United
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$0.98
Typical High
$4.07

Where Alaska sits

The same service costs 2.1 times more in Kansas 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.

Alaska· 11th of 51

$1.74

KS $2.14CO $1.00

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.