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Insert for Indwelling Tracheo-Esophageal Prosthesis

Ohio rates for HCPCS L8511

Insert for indwelling tracheo-esophageal prosthesis, with or without valve, replacement only, each

Rates data updated July 2026.

How much does Insert for Indwelling Tracheo-Esophageal Prosthesis cost?

$52.48

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $95.50 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$48.98$42.66 to $64.57
FacilityA hospital or hospital-owned outpatient department$95.50$72.44 to $110

How much rates vary

Facilitymedian $95 · 10th to 90th $51 to $257Professionalmedian $49 · 10th to 90th $41 to $93
$50$100$200$500facility $95professional $49

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
$42.66
Median
$72.44
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$42.66
Typical High
$74.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$95.50
Typical High
$190.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$117.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$75.86
Typical High
$107.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$72.44
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$72.44
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$109.65
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$100.00
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$43.65
Typical High
$61.66

Where Ohio sits

The same service costs 2.3 times more in Wisconsin than in Delaware. 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· 24th of 51

$52.48

WI $89.13DE $38.02

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.