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Stoma Cap

Iowa rates for HCPCS A5055

Stoma cap

Rates data updated July 2026.

How much does Stoma Cap cost?

$1.51

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1.51 for this service. The price depends on where it is billed: about $1.51 from a physician practice, and about $1.70 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$1.51$1.17 to $1.70
FacilityA hospital or hospital-owned outpatient department$1.70$1.29 to $2.19

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $5Professionalmedian $2 · 10th to 90th $1 to $3
$1$2$5$10$20$50facility $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
$1.17
Median
$1.45
Typical High
$1.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.98
Median
$1.51
Typical High
$1.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.20
Typical High
$2.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$2.24
Typical High
$2.82
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$3.72
Typical High
$4.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$2.19
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.23
Typical High
$3.39
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.34
Typical High
$2.63
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$3.39
Typical High
$3.39
United
Setting
Facility
Modifier
Global
Typical Low
$0.66
Median
$0.91
Typical High
$2.04
United
Setting
Professional
Modifier
Global
Typical Low
$0.78
Median
$1.00
Typical High
$2.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.62
Typical High
$1.62

Where Iowa 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.

Iowa· 14th of 51

$1.51

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.