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Surgical Removal Of A Pancreatic Stone

Kentucky rates for HCPCS 48020

Opens the duct that drains the pancreas to take out a stone blocking the flow of digestive juice. Clearing the blockage relieves pain and lowers the risk of repeated inflammation of the gland.

Rates data updated July 2026.

How much does Surgical Removal Of A Pancreatic Stone cost?

$1,175

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $5,754 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 6 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$1,175$1,023 to $1,380
FacilityA hospital or hospital-owned outpatient department$5,754$1,445 to $9,120

How much rates vary

Facilitymedian $5,754 · 10th to 90th $851 to $11,220Professionalmedian $1,175 · 10th to 90th $933 to $1,660
$100.0$1.0K$10.0Kfacility $5,754professional $1,175

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
$851.14
Median
$1,445.44
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,174.90
Typical High
$1,584.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$1,479.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$1,778.28
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,584.89
Typical High
$5,623.41
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$4,168.69
Typical High
$28,183.83
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,348.96
Typical High
$2,187.76

Where Kentucky sits

The same service costs 2.3 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $1,175 · 51st of 51
MN $2,692KY $1,175

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.