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Stoma Plug or Seal

New Hampshire rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated July 2026.

How much does Stoma Plug or Seal cost?

$2.63

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $2.63 for this service. The price depends on where it is billed: about $2.63 from a physician practice, and about $2.45 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$2.63$2.29 to $4.07
FacilityA hospital or hospital-owned outpatient department$2.45$2.45 to $2.95

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $3Professionalmedian $3 · 10th to 90th $2 to $4
$2$5$10facility $2professional $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
$2.45
Median
$2.45
Typical High
$2.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.45
Typical High
$2.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$3.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.19
Typical High
$2.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$7.41
United
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.78
Typical High
$1.91
United
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.63
Typical High
$4.07
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$6.17

Where New Hampshire 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.

New Hampshire· 35th of 51

$2.63

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.