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Additional-Area Muscle-Level Wound Cleaning

Kentucky rates for HCPCS 11046

This service is billed in addition to the main procedure for cleaning and removing damaged or dead tissue down to the level of muscle or connective tissue from a wound, covering an additional area beyond what the main procedure already treated in the same session. It's used for wounds too large to be fully treated by the base service alone. It supports healing by removing tissue that could otherwise slow recovery or increase infection risk.

Rates data updated July 2026.

How much does Additional-Area Muscle-Level Wound Cleaning cost?

$454

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

Insurers have agreed to pay about $454 for this procedure. That total is two separate charges: $56.23 to the doctor who performs it, and $398 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$56.23$45.71 to $67.61
Facility feeThe hospital or surgery center$398$69.18 to $3,890

How much rates vary

Facilitymedian $398 · 10th to 90th $52 to $10,715Professionalmedian $56 · 10th to 90th $39 to $89
$50.0$200.0$1.0K$5.0Kfacility $398professional $56

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
$52.48
Median
$117.49
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$109.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$45.71
Typical High
$64.57
CareSource
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$63.10
Typical High
$72.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$72.44
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$74.13
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$724.44
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$60.26
Typical High
$102.33

Where Kentucky sits

The same service costs 79.0 times more in New Hampshire than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeKentucky $454 · 36th of 50
NH $8,998MD $114

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.