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Stoma Plug or Seal

Utah rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated October 2026.

How much does Stoma Plug or Seal cost?

$2.34

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $2.34 for this service. The price depends on where it is billed: about $2.45 from a physician practice, and about $1.26 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.45$1.91 to $2.88
FacilityA hospital or hospital-owned outpatient department$1.26$1.26 to $2.57

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $2 · 10th to 90th $1 to $4
$2$5$10$20facility $1professional $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
$1.26
Median
$1.26
Typical High
$1.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.26
Median
$1.26
Typical High
$1.62
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.19
Median
$0.19
Typical High
$0.22
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.13
Median
$0.13
Typical High
$0.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$2.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.91
Median
$2.19
Typical High
$2.57
Molina
Setting
Professional
Modifier
None
Typical Low
$2.88
Median
$2.88
Typical High
$3.89
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Select Health
Setting
Facility
Modifier
None
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Select Health
Setting
Professional
Modifier
None
Typical Low
$2.00
Median
$3.98
Typical High
$4.68
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$2.63
Median
$3.31
Typical High
$4.79
United
Setting
Professional
Modifier
None
Typical Low
$1.55
Median
$1.95
Typical High
$3.39

Where Utah 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.

Utah· 35th of 51

$2.34

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.