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Level 1 Lower GI Procedures

Ohio rates for APC 5311

Level 1 Lower GI Procedures

Rates data updated July 2026.

How much does Level 1 Lower GI Procedures cost?

$1,000

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $1,000 for this service. Most negotiated rates run $871 to $2,344.

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 $1,000 · 10th to 90th $617 to $2,512
$1K$2Kfacility $1,000

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
$616.60
Median
$1,000.00
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71

Where Ohio sits

The same service costs 38.0 times more in Washington 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

$1,000

WA $4,898CA $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.