Cost of a Knee Arthroscopy Visit
in Kentucky
Reviewed by Momentary Medical Group West PC
Kentucky's expanded Medicaid program and competitive insurance market create relatively affordable access to orthopedic care across the Bluegrass State. Patients seeking Knee Arthroscopy services typically pay between $394 and $1,419, with a median cost of $717 based on negotiated rates from over 150 active providers throughout Kentucky. From Louisville's Norton Healthcare system to rural Appalachian clinics, Kentucky maintains strong orthopedic coverage, allowing patients to browse qualified Knee Arthroscopy specialists in both urban centers and smaller communities.
Average
$843
Median
$717
Lowest
$394
Highest
$1,419
Providers
153
10% below national average
Compare Similar Procedures
How does knee arthroscopy compare to related procedures in Kentucky?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $977 | $1,837 | $3,564 | 148 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $386 | $1,784 | $3,244 | 179 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $676 | $1,313 | 184 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $90 | $837 | $1,539 | 233 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $776 | $1,415 | 246 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $995 | $2,038 | 191 |
| Septoplasty Nasal septum repair | 30520 | $435 | $792 | $1,627 | 149 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $357 | $679 | 178 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $396 | $673 | $1,220 | 146 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $737 | $1,529 | 182 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $340 | $565 | $1,957 | 145 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 29881 — Arthroscopy, knee, surgical; with meniscectomy). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 29881 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 29881 (Arthroscopy, knee, surgical; with meniscectomy), as mandated by the CMS Price Transparency Rule.
What CPT 29881 covers: the provider's professional fee for knee arthroscopy. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Top-Rated Hospitals in Kentucky
These hospitals in Kentucky are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BEREA, KY
FLEMINGSBURG, KY
LOUISA, KY
LEXINGTON, KY
CYNTHIANA, KY
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why Knee Arthroscopy Visit Costs Vary Across Kentucky
Kentucky's healthcare costs run approximately 5% below national averages, reflecting the state's lower cost of living and competitive insurance market. The mix of major health systems in Louisville and Lexington alongside independent practices throughout rural Kentucky creates diverse pricing structures for orthopedic services.
Urban vs. Rural Provider Availability
Louisville and Lexington concentrate most of Kentucky's orthopedic specialists, while rural Appalachian counties rely on traveling surgeons or telemedicine consultations. This geographic disparity can mean rural patients pay higher travel costs but sometimes access lower base procedure fees. Eastern Kentucky particularly faces provider shortages that can affect both access and pricing.
Facility Type and Overhead Costs
Hospital-owned orthopedic practices affiliated with Norton Healthcare, Baptist Health, and UK HealthCare typically charge higher facility fees than independent surgical centers. Ambulatory surgery centers throughout Kentucky offer competitive pricing for arthroscopic procedures, often 30-50% less expensive than hospital outpatient departments. Independent orthopedic practices frequently provide more flexible pricing and payment options.
Insurance Market Competition in Kentucky
Anthem, UHC, and Humana maintain strong competition in Kentucky's insurance market, leading to well-negotiated rates for orthopedic procedures. The state's moderate market concentration prevents any single insurer from dominating pricing, benefiting consumers through competitive rates. Regional insurers and self-funded employer plans add additional competitive pressure on major carriers.
Physician Supply and Demand in Kentucky
With over 150 active Knee Arthroscopy providers, Kentucky maintains adequate orthopedic coverage relative to its population, though distribution favors urban areas. This reasonable supply helps control pricing and reduces wait times for non-urgent procedures in major metropolitan areas. Rural regions still experience occasional shortages that can extend scheduling timelines and affect local pricing dynamics.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Knee Arthroscopy Costs in Kentucky
What is the average cost of a Knee Arthroscopy visit in Kentucky without insurance?
Does Kentucky Medicaid cover Knee Arthroscopy visits?
How do I find an affordable Knee Arthroscopy near me in Kentucky?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Knee Arthroscopy visit in Kentucky?
How does telemedicine affect the cost of seeing a Knee Arthroscopy in Kentucky?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 29881)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | California Range: $80 – $8,767 | $2,976 |
| 2 | Wisconsin Range: $73 – $4,236 | $1,989 |
| 3 | Idaho Range: $80 – $4,173 | $1,697 |
| 4 | Rhode Island Range: $452 – $2,410 | $1,253 |
| 5 | Massachusetts Range: $438 – $2,410 | $1,247 |
| 6 | Minnesota Range: $338 – $2,258 | $1,163 |
| 7 | Connecticut Range: $366 – $2,410 | $1,161 |
| 8 | Delaware Range: $412 – $2,410 | $1,154 |
| 9 | Pennsylvania Range: $366 – $2,410 | $1,133 |
| 10 | Wyoming Range: $648 – $1,845 | $1,133 |
| 11 | New York Range: $384 – $2,410 | $1,111 |
| 12 | Georgia Range: $450 – $2,024 | $1,109 |
| 13 | Iowa Range: $452 – $1,680 | $1,102 |
| 14 | New Hampshire Range: $573 – $1,631 | $1,073 |
| 15 | Nebraska Range: $655 – $1,294 | $1,041 |
| 16 | West Virginia Range: $482 – $1,901 | $1,025 |
| 17 | South Dakota Range: $387 – $1,811 | $991 |
| 18 | District of Columbia Range: $443 – $1,591 | $987 |
| 19 | New Jersey Range: $412 – $1,845 | $945 |
| 20 | Maine Range: $634 – $1,087 | $925 |
| 21 | North Carolina Range: $450 – $1,504 | $916 |
| 22 | North Dakota Range: $331 – $1,591 | $891 |
| 23 | Illinois Range: $90 – $1,895 | $880 |
| 24 | Maryland Range: $485 – $1,591 | $878 |
| 25 | New Mexico Range: $487 – $1,281 | $869 |
| 26 | Colorado Range: $452 – $1,326 | $861 |
| 27 | Utah Range: $80 – $1,294 | $844 |
| 28 | Kentucky Range: $394 – $1,419 | $843 |
| 29 | Michigan Range: $452 – $1,294 | $833 |
| 30 | Oregon Range: $80 – $1,591 | $811 |
| 31 | Indiana Range: $90 – $1,642 | $798 |
| 32 | Vermont Range: $410 – $1,326 | $788 |
| 33 | Washington Range: $80 – $1,475 | $773 |
| 34 | Texas Range: $421 – $1,250 | $765 |
| 35 | South Carolina Range: $422 – $1,266 | $765 |
| 36 | Mississippi Range: $424 – $1,330 | $761 |
| 37 | Arkansas Range: $479 – $1,034 | $755 |
| 38 | Tennessee Range: $466 – $1,057 | $738 |
| 39 | Alabama Range: $382 – $1,165 | $722 |
| 40 | Missouri Range: $507 – $892 | $720 |
| 41 | Virginia Range: $389 – $1,182 | $719 |
| 42 | Nevada Range: $452 – $1,051 | $717 |
| 43 | Hawaii Range: $80 – $1,287 | $706 |
| 44 | Louisiana Range: $394 – $1,089 | $693 |
| 45 | Oklahoma Range: $442 – $1,009 | $671 |
| 46 | Kansas Range: $507 – $860 | $668 |
| 47 | Ohio Range: $338 – $983 | $635 |
| 48 | Arizona Range: $452 – $907 | $604 |
| 49 | Alaska Range: $80 – $1,127 | $429 |
| 50 | Montana Range: $80 – $985 | $382 |
| 51 | Florida Range: $35 – $980 | $357 |