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Apligraf

Kentucky rates for HCPCS Q4101

Apligraf, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does Apligraf cost?

$30.20

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $35.48 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$30.20$30.20 to $30.20
FacilityA hospital or hospital-owned outpatient department$35.48$35.48 to $35.48

How much rates vary

Facilitymedian $35 · 10th to 90th $33 to $43Professionalmedian $30 · 10th to 90th $30 to $83
$50$200$1K$5Kfacility $35professional $30

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
$30.20
Median
$47.86
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$31.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$35.48
Typical High
$35.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$38.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$47.86
CareSource
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$32.36
Typical High
$42.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$125.89
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$29.51
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$125.89
Typical High
$125.89

Where Kentucky sits

The same service costs 3.9 times more in Oregon than in Colorado. 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· 49th of 51

$30.20

OR $117CO $30.20

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.