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Surgical Mask

Washington rates for HCPCS A4928

Surgical mask, per 20

Rates data updated October 2026.

How much does Surgical Mask cost?

$16.98

Typical physician fee. In Washington, October 2026.

Insurers have agreed to pay about $16.98 for this service. Most negotiated rates run $1.26 to $16.98.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $17 · 10th to 90th $1 to $17
$1$2$5$10$20$50facility $1professional $17

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.26
Median
$1.26
Typical High
$1.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.26
Median
$1.26
Typical High
$1.26
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.63
Median
$0.63
Typical High
$0.63
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.25
Median
$0.25
Typical High
$0.25
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.19
Median
$0.19
Typical High
$0.19
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.13
Median
$0.13
Typical High
$0.13
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$50.12
Typical High
$75.86
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$1.00
Median
$1.00
Typical High
$1.00

Where Washington sits

The same service costs 316.2 times more in Montana than in Arkansas. 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.

Washington· 16th of 51

$16.98

MT $79.43AR $0.25

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.