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Stoma Plug or Seal

South Dakota rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated July 2026.

How much does Stoma Plug or Seal cost?

$3.89

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $3.89 for this service. The price depends on where it is billed: about $3.89 from a physician practice, and about $4.37 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 7 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$3.89$2.95 to $5.25
FacilityA hospital or hospital-owned outpatient department$4.37$3.24 to $5.01

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $5Professionalmedian $4 · 10th to 90th $3 to $7
$2$5$10$20$50facility $4professional $4

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. 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
Global
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$2.95
Typical High
$5.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$5.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$6.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$4.57
Typical High
$7.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$2.63
Typical High
$22.39
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.13
Typical High
$5.13
Midlands
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$7.08
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.98
Typical High
$5.25
United
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$2.19
Typical High
$3.24
United
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$2.63
Typical High
$5.37
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80

Where South Dakota 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.

South Dakota· 6th of 51

$3.89

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.