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Wheelchair Evaluation, Face-to-Face Physician Visit

Kentucky rates for HCPCS G9156

Evaluation for wheelchair requiring face-to-face visit with physician

Rates data updated July 2026.

How much does Wheelchair Evaluation, Face-to-Face Physician Visit cost?

$16.60

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $64.57 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 5 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$16.60$12.02 to $16.60
FacilityA hospital or hospital-owned outpatient department$64.57$64.57 to $64.57

How much rates vary

Facilitymedian $65 · 10th to 90th $65 to $65Professionalmedian $17 · 10th to 90th $8 to $18
$10.0$100.0$1.0K$10.0Kfacility $65professional $17

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$16.60
Typical High
$17.78
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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.47
Typical High
$18.62

Where Kentucky sits

The same service costs 7.6 times more in North Carolina than in Alabama. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $16.60 · 12th of 51
NC $75.86AL $10.00

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.