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Stoma Cap

Utah rates for HCPCS A5055

Stoma cap

Rates data updated July 2026.

How much does Stoma Cap cost?

$1.29

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $1.29 for this service. The price depends on where it is billed: about $1.35 from a physician practice, and about $0.55 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$1.35$0.93 to $2.00
FacilityA hospital or hospital-owned outpatient department$0.55$0.55 to $0.68

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $1 · 10th to 90th $1 to $8
$1$2$5facility $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
$0.55
Median
$0.55
Typical High
$0.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.55
Median
$1.29
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.20
Typical High
$1.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.02
Typical High
$1.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$1.51
Typical High
$2.09
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.29
Typical High
$2.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$1.86
Select Health
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$1.86
Typical High
$2.00
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.86
Typical High
$2.40
United
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$0.78
Typical High
$0.85
United
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.85
Typical High
$1.55

Where Utah 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.

Utah· 29th 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.