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Level 1 Breast/Lymphatic Surgery and Related Procedures

Ohio rates for APC 5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

Rates data updated July 2026.

How much does Level 1 Breast/Lymphatic Surgery and Related Procedures cost?

$4,266

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $4,266 for this service. Most negotiated rates run $3,631 to $10,000.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,266 · 10th to 90th $2,570 to $10,471
$5.0K$10.0Kfacility $4,266

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,265.80
Typical High
$10,471.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93

Where Ohio sits

The same service costs 158.5 times more in Washington than in California. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Ohio $4,266 · 9th of 21
WA $20,417CA $129

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.