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Stoma Plug or Seal

New Jersey rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated October 2026.

How much does Stoma Plug or Seal cost?

$2.24

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $2.24 for this service. Most negotiated rates run $2.00 to $3.09.

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.

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $3Professionalmedian $2 · 10th to 90th $2 to $3
$2$5facility $3professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.62
Median
$2.24
Typical High
$2.24
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.62
Median
$2.24
Typical High
$2.29
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.24
Median
$0.34
Typical High
$0.34
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.16
Median
$0.23
Typical High
$0.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$2.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.91
Median
$2.19
Typical High
$2.19
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$3.09
Median
$6.17
Typical High
$6.17
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$3.09
Median
$3.09
Typical High
$3.09
Horizon BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$0.31
Median
$0.31
Typical High
$0.31
United
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$2.45
Typical High
$4.68

Where New Jersey sits

The same service costs 2.5 times more in Hawaii than in Vermont. 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· 45th of 51

$2.24

HI $5.50VT $2.19

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.