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Stoma Plug or Seal

Tennessee rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated October 2026.

How much does Stoma Plug or Seal cost?

$2.51

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $2.51 for this service. Most negotiated rates run $2.14 to $3.39.

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.

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $3Professionalmedian $2 · 10th to 90th $2 to $23
$2$5$10$20facility $3professional $2

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2.29
Median
$2.29
Typical High
$2.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.29
Median
$2.75
Typical High
$3.89
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.35
Median
$0.41
Typical High
$0.59
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.23
Median
$0.27
Typical High
$0.39
Ambetter
Setting
Professional
Modifier
None
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$2.63
Median
$3.39
Typical High
$3.39
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$2.75
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.91
Median
$2.19
Typical High
$2.57
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
None
Typical Low
$1.32
Median
$2.09
Typical High
$2.51

Where Tennessee 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.

Tennessee· 27th of 51

$2.51

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.