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Stoma Plug or Seal

New Jersey rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated July 2026.

How much does Stoma Plug or Seal cost?

$2.51

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $2.51 for this service. The price depends on where it is billed: about $2.51 from a physician practice, and about $2.24 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 5 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$2.51$2.00 to $3.09
FacilityA hospital or hospital-owned outpatient department$2.24$2.24 to $2.57

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $5Professionalmedian $3 · 10th to 90th $1 to $4
$0.05$0.2$1$5$20facility $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
$2.24
Median
$2.24
Typical High
$2.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$2.29
Typical High
$3.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$2.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.19
Typical High
$2.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$4.47
Typical High
$6.17
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$3.09
United
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$2.19
Typical High
$4.68
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$2.63
Typical High
$4.47

Where New Jersey 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 Jersey· 40th of 51

$2.51

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.