go back

Stoma Plug or Seal

Michigan rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated July 2026.

How much does Stoma Plug or Seal cost?

$3.02

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $3.02 for this service. The price depends on where it is billed: about $3.02 from a physician practice, and about $5.25 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$3.02$2.19 to $3.98
FacilityA hospital or hospital-owned outpatient department$5.25$3.02 to $12.30

How much rates vary

Facilitymedian $5 · 10th to 90th $2 to $18Professionalmedian $3 · 10th to 90th $2 to $4
$0.1$1$10facility $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
$3.02
Median
$3.02
Typical High
$3.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$2.82
Typical High
$3.39
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$11.75
Typical High
$22.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$4.07
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$2.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$2.57
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$7.41
Typical High
$8.32
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.16
Typical High
$4.79
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$3.24
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.82
Typical High
$2.95
United
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$1.86
Typical High
$2.82

Where Michigan 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.

Michigan· 23rd of 51

$3.02

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.