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Stoma Plug or Seal

Illinois rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated July 2026.

How much does Stoma Plug or Seal cost?

$2.95

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $2.95 for this service. The price depends on where it is billed: about $2.95 from a physician practice, and about $4.68 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$2.95$2.57 to $3.80
FacilityA hospital or hospital-owned outpatient department$4.68$2.57 to $9.33

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $26Professionalmedian $3 · 10th to 90th $2 to $5
$0.1$1.0$10.0$100.0facility $5professional $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
$2.57
Median
$2.57
Typical High
$4.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.57
Typical High
$4.68
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$10.23
Typical High
$40.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.55
Typical High
$3.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$5.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.19
Typical High
$2.57
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.90
Typical High
$6.61
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
United
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$4.68
Typical High
$4.68
United
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.29
Typical High
$4.07

Where Illinois sits

The same service costs 2.6 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $2.95 · 25th of 51
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.