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Application Of A Shoulder Spica Cast

Kentucky rates for HCPCS 29055

A large cast is applied that wraps around the chest and continues down the arm, holding the shoulder in a set position. Keeping the shoulder and upper arm completely still lets a fracture or a repair heal in the right alignment. Padding is put on first and the cast is then moulded to the body.

Rates data updated July 2026.

How much does Application Of A Shoulder Spica Cast cost?

$395

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

Insurers have agreed to pay about $395 for this procedure. That total is two separate charges: $166 to the doctor who performs it, and $229 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$166$129 to $214
Facility feeThe hospital or surgery center$229$174 to $9,120

How much rates vary

Facilitymedian $229 · 10th to 90th $141 to $11,220Professionalmedian $166 · 10th to 90th $112 to $269
$50.0$200.0$1.0K$5.0Kfacility $229professional $166

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
$134.90
Median
$181.97
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$181.97
CareSource
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$204.17
CareSource
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$1,230.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$724.44
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$204.17
Typical High
$363.08

Where Kentucky sits

The same service costs 16.6 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeKentucky $395 · 47th of 49
IN $4,072MD $245

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.