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Stoma Plug or Seal

Georgia rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated July 2026.

How much does Stoma Plug or Seal cost?

$2.69

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $2.69 for this service. The price depends on where it is billed: about $2.69 from a physician practice, and about $2.51 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$2.69$2.45 to $3.24
FacilityA hospital or hospital-owned outpatient department$2.51$2.34 to $2.51

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $3Professionalmedian $3 · 10th to 90th $2 to $4
$0.05$0.2$1$5facility $3professional $3

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
$2.51
Median
$2.51
Typical High
$2.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.57
Typical High
$3.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$3.24
Typical High
$5.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$3.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$3.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$6.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.19
Typical High
$2.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$3.98
Typical High
$5.13
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.82
Typical High
$3.98
United
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.95
Typical High
$3.80

Where Georgia sits

The same service costs 2.6 times more in Hawaii 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.

Georgia· 34th of 51

$2.69

HI $5.50CO $2.09

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.