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Kentucky rates for HCPCS G0428

Collagen meniscus implant procedure for filling meniscal defects (e.g., CMI, collagen scaffold, Menaflex)

Rates data updated July 2026.

How much does HCPCS G0428 cost?

$813

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $851 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$95.50$75.86 to $813
FacilityA hospital or hospital-owned outpatient department$851$813 to $8,318

How much rates vary

Facilitymedian $851 · 10th to 90th $759 to $8,511Professionalmedian $95 · 10th to 90th $76 to $813
$100$1K$10Kfacility $851professional $95

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
$812.83
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$75.86
Typical High
$77.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$61,659.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$4,466.84
Typical High
$28,183.83

Where Kentucky sits

The same service costs 19.5 times more in California than in Ohio. 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.

Kentucky· 26th of 51

$813

CA $3,802OH $195

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.