go back

Stoma Cap

Illinois rates for HCPCS A5055

Stoma cap

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $1$110%20%10th90th$2Professionalmedian $1 · 10th–90th $1$20%10%20%10th90th$1$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$2.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$1.17
Typical High
$2.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$5.37
Typical High
$17.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$1.55
Typical High
$1.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.20
Typical High
$2.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.02
Typical High
$2.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$3.72
Typical High
$4.90
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
United
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$2.04
Typical High
$2.04
United
Setting
Professional
Modifier
Global
Typical Low
$0.71
Median
$1.00
Typical High
$1.78