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Other Disorders of the Eye without Major Complications

Kentucky rates for MS-DRG 125

Other Disorders of the Eye without MCC

Rates data updated July 2026.

How much does Other Disorders of the Eye without Major Complications cost?

$10,000

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $10,000 for this service. Most negotiated rates run $7,244 to $11,220.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,000 · 10th to 90th $6,166 to $13,183
$5K$10Kfacility $10,000

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
$7,244.36
Median
$11,220.18
Typical High
$18,620.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$9,772.37
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$10,471.29
Typical High
$19,952.62
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,000.00
Typical High
$13,182.57

Where Kentucky sits

The same service costs 7.9 times more in Montana than in New Mexico. 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· 35th of 51

$10,000

MT $48,978NM $6,166

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.