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Level 1 Musculoskeletal Procedures

Ohio rates for APC 5111

Level 1 Musculoskeletal Procedures

Rates data updated October 2026.

How much does Level 1 Musculoskeletal Procedures cost?

$617

Typical facility fee. In Ohio, October 2026.

Insurers have agreed to pay about $617 for this service. Most negotiated rates run $457 to $794.

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 $617 · 10th to 90th $324 to $1,047
$500$1Kfacility $617

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$616.60
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$645.65
Typical High
$933.25
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$645.65
Typical High
$933.25

Where Ohio sits

The same service costs 5.2 times more in Maine than in South Dakota. 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.

Ohio· 13th of 40

$617

ME $1,096SD $209

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.