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Removal Of Damaged Tissue Beneath The Skin

Ohio rates for HCPCS 11042

This is a procedure to remove dead, damaged, or infected tissue from just beneath the skin's surface, in the fatty layer under the skin, to help a wound heal properly. It covers a defined smaller area of tissue treated during the procedure.

Rates data updated July 2026.

How much does Removal Of Damaged Tissue Beneath The Skin cost?

$1,024

Typical total for the visit. In Ohio, July 2026.

Insurers have agreed to pay about $1,024 for this procedure. That total is two separate charges: $91.20 to the doctor who performs it, and $933 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$91.20$58.88 to $132
Facility feeThe hospital or surgery center$933$575 to $2,692

How much rates vary

Facilitymedian $933 · 10th to 90th $135 to $4,169Professionalmedian $91 · 10th to 90th $49 to $240
$50$200$1K$5Kfacility $933professional $91

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
$120.23
Median
$933.25
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$104.71
Typical High
$269.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$61.66
Typical High
$131.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,995.26
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$57.54
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$56.23
Median
$85.11
Typical High
$199.53
CareSource
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$77.62
CareSource
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$114.82
Typical High
$204.17
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$812.83
Typical High
$1,862.09
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$104.71
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.88
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$123.03
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$870.96
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$89.13
Typical High
$173.78

Where Ohio sits

The same service costs 17.0 times more in California than in Montana. 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.

Physician feeFacility fee

Ohio· 22nd of 51

$1,024

$91.20 physician + $933 facility

CA $5,220MT $307

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.