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Affinity

Ohio rates for HCPCS Q4159

Affinity, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does Affinity cost?

$204

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $195 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$126 to $204
FacilityA hospital or hospital-owned outpatient department$195$145 to $275

How much rates vary

Facilitymedian $195 · 10th to 90th $135 to $417Professionalmedian $204 · 10th to 90th $126 to $269
$100$200$500$1Kfacility $195professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$562.34
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$489.78
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$204.17
Typical High
$275.42
CareSource
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
CareSource
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$275.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$194.98
Typical High
$389.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$234.42
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$177.83
Typical High
$316.23
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$234.42
Molina
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$97.72
Typical High
$131.83
SummaCare
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$141.25
Typical High
$158.49
SummaCare
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$123.03
Typical High
$151.36
United
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$125.89
Typical High
$165.96

Where Ohio sits

The same service costs 9.1 times more in Wyoming than in North Carolina. 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· 29th of 51

$204

WY $1,072NC $117

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.