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Stoma Cap

Louisiana rates for HCPCS A5055

Stoma cap

Rates data updated July 2026.

How much does Stoma Cap cost?

$1.29

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $1.29 for this service. The price depends on where it is billed: about $1.29 from a physician practice, and about $1.41 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 5 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$1.29$1.07 to $1.45
FacilityA hospital or hospital-owned outpatient department$1.41$1.41 to $3.02

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $4Professionalmedian $1 · 10th to 90th $1 to $2
$1$2$5$10$20facility $1professional $1

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
$1.15
Median
$1.41
Typical High
$1.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.98
Median
$1.29
Typical High
$1.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$3.02
Typical High
$4.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.45
Typical High
$1.45
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.20
Typical High
$1.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.02
Typical High
$1.74
United
Setting
Facility
Modifier
Global
Typical Low
$0.58
Median
$0.78
Typical High
$1.00
United
Setting
Professional
Modifier
Global
Typical Low
$0.56
Median
$0.93
Typical High
$1.23

Where Louisiana 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.

Louisiana· 31st of 51

$1.29

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.