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Stoma Cap

Tennessee rates for HCPCS A5055

Stoma cap

Rates data updated October 2026.

How much does Stoma Cap cost?

$1.05

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $1.05 for this service. Most negotiated rates run $0.87 to $1.32.

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.

How much rates vary

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

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.87
Median
$0.87
Typical High
$0.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.87
Median
$1.05
Typical High
$1.48
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.13
Median
$0.16
Typical High
$0.22
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.09
Median
$0.11
Typical High
$0.15
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$1.02
Median
$1.32
Typical High
$1.32
Cigna
Setting
Facility
Modifier
None
Typical Low
$1.20
Median
$1.20
Typical High
$1.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.02
Median
$1.02
Typical High
$1.20
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$15.14
Typical High
$15.14
United
Setting
Professional
Modifier
None
Typical Low
$0.56
Median
$0.81
Typical High
$1.00

Where Tennessee sits

The same service costs 2.1 times more in Kansas than in Kentucky. 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.

Tennessee· 42nd of 51

$1.05

KS $2.14KY $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.