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Stoma Plug or Seal

Rhode Island rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated October 2026.

How much does Stoma Plug or Seal cost?

$2.29

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $2.29 for this service. Most negotiated rates run $1.91 to $2.63.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $9 · 10th to 90th $6 to $11Professionalmedian $2 · 10th to 90th $2 to $4
$2$5$10facility $9professional $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
Professional
Modifier
None
Typical Low
$1.91
Median
$1.91
Typical High
$2.95
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.28
Median
$0.28
Typical High
$0.45
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.19
Median
$0.19
Typical High
$0.30
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$6.76
Median
$9.12
Typical High
$10.72
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$1.70
Median
$2.45
Typical High
$3.55
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
United
Setting
Professional
Modifier
None
Typical Low
$1.78
Median
$2.63
Typical High
$3.89

Where Rhode Island 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.

Rhode Island· 43rd of 51

$2.29

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.