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Stoma Plug or Seal

Massachusetts rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated July 2026.

How much does Stoma Plug or Seal cost?

$3.89

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $3.89 for this service. The price depends on where it is billed: about $3.89 from a physician practice, and about $2.95 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 9 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$3.89$2.24 to $4.07
FacilityA hospital or hospital-owned outpatient department$2.95$2.04 to $8.91

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $79Professionalmedian $4 · 10th to 90th $2 to $6
$1.0$10.0$100.0$1.0K$10.0Kfacility $3professional $4

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
$2.04
Median
$2.04
Typical High
$2.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.45
Typical High
$7.08
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$4.37
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$3.63
Typical High
$5.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$8.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$2.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.19
Typical High
$2.69
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$6.17
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.10
Typical High
$1.10
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$4.37
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$3.63
Typical High
$5.62
United
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.95
Typical High
$4.68
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.80
Typical High
$4.07

Where Massachusetts 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.

Massachusetts $3.89 · 5th 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.