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Level 1 ICD and Similar Procedures

Ohio rates for APC 5231

Level 1 ICD and Similar Procedures

Rates data updated July 2026.

How much does Level 1 ICD and Similar Procedures cost?

$25,119

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $25,119 for this service. Most negotiated rates run $21,380 to $57,544.

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 $25,119 · 10th to 90th $15,136 to $61,660
$20K$50Kfacility $25,119

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
$15,135.61
Median
$25,118.86
Typical High
$61,659.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$50,118.72
Typical High
$50,118.72
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$50,118.72
Typical High
$50,118.72

Where Ohio sits

The same service costs 489.8 times more in Pennsylvania than in California. 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· 9th of 21

$25,119

PA $63,096CA $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.