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Surgical Mask

Wisconsin rates for HCPCS A4928

Surgical mask, per 20

Rates data updated July 2026.

How much does Surgical Mask cost?

$1.26

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $1.26 for this service. The price depends on where it is billed: about $1.26 from a physician practice, and about $1.26 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 9 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$1.26$1.26 to $1.26
FacilityA hospital or hospital-owned outpatient department$1.26$1.26 to $1.26

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $1
$0.5$2.0$10.0$50.0facility $1professional $1

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
$1.26
Median
$1.26
Typical High
$1.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.89
Median
$1.05
Typical High
$1.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.43
Median
$0.49
Typical High
$16.98
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.51
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$0.60
Median
$0.66
Typical High
$0.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.51
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
United
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.24

Where Wisconsin sits

The same service costs 17.4 times more in North Carolina than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $1.26 · 41st of 51
NC $9.12MN $0.52

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.