go back

Stoma Plug or Seal

North Carolina rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated July 2026.

How much does Stoma Plug or Seal cost?

$3.16

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3.16 for this service. The price depends on where it is billed: about $3.16 from a physician practice, and about $3.72 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$3.16$2.82 to $3.55
FacilityA hospital or hospital-owned outpatient department$3.72$2.82 to $4.90

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $9Professionalmedian $3 · 10th to 90th $2 to $4
$2$5$10$20$50facility $4professional $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
$3.55
Median
$3.55
Typical High
$3.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$3.55
Typical High
$3.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$5.50
Typical High
$6.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$3.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$2.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.19
Typical High
$2.69
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.95
Typical High
$3.31
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$3.80
Typical High
$6.03
United
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$2.95
Typical High
$4.17
United
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$2.00
Typical High
$2.88
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$34.67

Where North Carolina 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.

North Carolina· 18th of 51

$3.16

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.