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Stoma Plug or Seal

Illinois rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated October 2026.

How much does Stoma Plug or Seal cost?

$2.57

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $2.57 for this service. The price depends on where it is billed: about $2.57 from a physician practice, and about $7.24 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.57$2.14 to $3.55
FacilityA hospital or hospital-owned outpatient department$7.24$4.47 to $22.39

How much rates vary

Facilitymedian $7 · 10th to 90th $3 to $38Professionalmedian $3 · 10th to 90th $2 to $5
$2$5$10$20$50facility $7professional $3

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
$2.14
Median
$2.57
Typical High
$4.68
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.14
Median
$2.57
Typical High
$3.80
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.32
Median
$0.39
Typical High
$0.56
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.22
Median
$0.26
Typical High
$0.38
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$5.13
Median
$10.00
Typical High
$40.74
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$2.00
Median
$3.55
Typical High
$3.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$2.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.91
Median
$2.19
Typical High
$3.02
Hally Health
Setting
Professional
Modifier
None
Typical Low
$3.98
Median
$4.68
Typical High
$6.46
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Molina
Setting
Professional
Modifier
None
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
United
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$2.29
Typical High
$5.62

Where Illinois sits

The same service costs 2.5 times more in Hawaii than in Vermont. 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.

Illinois· 26th of 51

$2.57

HI $5.50VT $2.19

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.