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Stoma Cap

Nevada rates for HCPCS A5055

Stoma cap

Rates data updated July 2026.

How much does Stoma Cap cost?

$1.51

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $1.51 for this service. The price depends on where it is billed: about $1.41 from a physician practice, and about $1.78 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$1.41$1.07 to $1.78
FacilityA hospital or hospital-owned outpatient department$1.78$1.78 to $1.78

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $3
$1$2$5facility $2professional $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
$1.78
Median
$1.78
Typical High
$1.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.51
Typical High
$8.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.20
Typical High
$1.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.02
Typical High
$1.86
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.91
Typical High
$3.47
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.86
Typical High
$2.04
United
Setting
Facility
Modifier
Global
Typical Low
$0.78
Median
$0.78
Typical High
$0.91
United
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$1.07
Typical High
$2.29

Where Nevada 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.

Nevada· 16th 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.