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Ohio rates for HCPCS 0231U

Rates data updated July 2026.

How much does HCPCS 0231U cost?

$676

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $1,175 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 8 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$646$389 to $794
FacilityA hospital or hospital-owned outpatient department$1,175$851 to $1,862

How much rates vary

Facilitymedian $1,175 · 10th to 90th $759 to $2,042Professionalmedian $646 · 10th to 90th $339 to $1,096
$500$1K$2K$5Kfacility $1,175professional $646

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
$794.33
Median
$1,445.44
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$1,047.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$11,748.98
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$13,182.57
Typical High
$23,442.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,096.48
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$4,677.35
Molina
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$977.24

Where Ohio sits

The same service costs 3.7 times more in Alaska than in Wyoming. 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· 39th of 51

$676

AK $1,905WY $513

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.