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Inborn and Other Disorders of Metabolism

Kentucky rates for MS-DRG 642

Inborn and Other Disorders of Metabolism

Rates data updated July 2026.

How much does Inborn and Other Disorders of Metabolism cost?

$18,197

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $18,197 for this service. Most negotiated rates run $13,804 to $20,417.

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 $18,197 · 10th to 90th $11,220 to $24,547
$10K$20Kfacility $18,197

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
$13,489.63
Median
$20,892.96
Typical High
$33,884.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$18,197.01
Typical High
$23,442.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$19,498.45
Typical High
$37,153.52
United
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$18,197.01
Typical High
$24,547.09

Where Kentucky sits

The same service costs 4.4 times more in Montana than in Mississippi. 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· 33rd of 51

$18,197

MT $48,978MS $11,220

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.