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Texas rates for HCPCS G0428

Collagen meniscus implant procedure for filling meniscal defects (e.g., CMI, collagen scaffold, Menaflex)

Rates data updated July 2026.

How much does HCPCS G0428 cost?

$813

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $3,311 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$813$813 to $813
FacilityA hospital or hospital-owned outpatient department$3,311$1,047 to $4,677

How much rates vary

Facilitymedian $3,311 · 10th to 90th $813 to $9,333Professionalmedian $813 · 10th to 90th $813 to $813
$200$500$1K$2K$5K$10Kfacility $3,311professional $813

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
$870.96
Median
$3,715.35
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$1,698.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$1,698.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$2,238.72
Typical High
$9,332.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$117.49

Where Texas sits

The same service costs 19.5 times more in California than in Ohio. 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.

Texas· 20th of 51

$813

CA $3,802OH $195

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.