go back

Shoulder Cast Supplies, Adult, Fiberglass

Kentucky rates for HCPCS Q4004

Cast supplies, shoulder cast, adult (11 years +), fiberglass

Rates data updated July 2026.

How much does Shoulder Cast Supplies, Adult, Fiberglass cost?

$95.50

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $100 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$79.43 to $102
FacilityA hospital or hospital-owned outpatient department$100$77.62 to $209

How much rates vary

Facilitymedian $100 · 10th to 90th $78 to $209Professionalmedian $95 · 10th to 90th $63 to $132
$100$200facility $100professional $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
$77.62
Median
$77.62
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$100.00
Typical High
$104.71
CareSource
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$204.17
Typical High
$263.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$190.55
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$741.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$100.00

Where Kentucky sits

The same service costs 1.8 times more in Minnesota than in Rhode Island. 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· 40th of 51

$95.50

MN $151RI $83.18

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.