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Stoma Plug or Seal

Utah rates for HCPCS A5081

Stoma plug or seal, any type

Rates data updated July 2026.

How much does Stoma Plug or Seal cost?

$2.88

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $2.88 for this service. The price depends on where it is billed: about $2.95 from a physician practice, and about $1.26 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$2.95$1.95 to $4.07
FacilityA hospital or hospital-owned outpatient department$1.26$1.26 to $1.78

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $3 · 10th to 90th $1 to $20
$2$5$10$20facility $1professional $3

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$2.95
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$2.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.19
Typical High
$2.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.24
Typical High
$4.57
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.82
Typical High
$4.37
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.98
Typical High
$4.17
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.98
Typical High
$4.79
United
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.82
Typical High
$1.95
United
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$1.95
Typical High
$2.95

Where Utah 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.

Utah· 26th of 51

$2.88

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.