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Exchange Of One External Frame Strut

Ohio rates for HCPCS 20697

Replaces a single strut on an external frame that is already in place. Imaging is included, and the adjustment is computer-assisted. The charge applies once for each strut exchanged.

Rates data updated July 2026.

How much does Exchange Of One External Frame Strut cost?

$1,905

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $4,467 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$1,622$0.71 to $2,188
FacilityA hospital or hospital-owned outpatient department$4,467$2,630 to $7,943

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,622 to $10,965Professionalmedian $1,622 · 10th to 90th $1 to $4,169
$1$10$100$1K$10Kfacility $4,467professional $1,622

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
$2,089.30
Median
$6,309.57
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,949.84
Typical High
$7,413.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.45
Median
$0.62
Typical High
$2,238.72
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,137.96
Typical High
$3,388.44
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,137.96
Typical High
$3,388.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,137.96
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,862.09
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,949.84
Typical High
$3,311.31

Where Ohio sits

The same service costs 3.8 times more in California than in Kentucky. 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· 47th of 51

$1,905

CA $6,310KY $1,660

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.