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Open Biopsy or Removal of Groin Lymph Nodes

Ohio rates for HCPCS 38531

Through an incision in the groin, one or more lymph nodes from the groin and upper thigh region are taken out and sent to a laboratory. This is done to find out whether cancer, infection or another disease is present in the nodes. It is an open procedure rather than a needle sample, so a whole node can be examined.

Rates data updated July 2026.

How much does Open Biopsy or Removal of Groin Lymph Nodes cost?

$3,715

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $3,715 for this service. Most negotiated rates run $1,778 to $6,607.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,715 · 10th to 90th $589 to $10,715
$500$1K$2K$5K$10Kfacility $3,715

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
$489.78
Median
$3,715.35
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$5,623.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,548.13
Typical High
$15,135.61
CareSource
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$707.95
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,495.41
Typical High
$9,120.11

Where Ohio sits

The same service costs 20.4 times more in Indiana than in North Dakota. 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· 23rd of 50

$3,715

IN $9,120ND $447

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.