go back

Hip Spica Cast Supplies, Pediatric, Fiberglass

Utah rates for HCPCS Q4028

Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass

Rates data updated October 2026.

How much does Hip Spica Cast Supplies, Pediatric, Fiberglass cost?

$31.62

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $31.62 for this service. Most negotiated rates run $30.90 to $52.48.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $31 · 10th to 90th $31 to $31Professionalmedian $32 · 10th to 90th $31 to $62
$20$50facility $31professional $32

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
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$40.74
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$15.49
Median
$15.49
Typical High
$20.42
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.17
Median
$6.17
Typical High
$8.13
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$23.44
Median
$23.44
Typical High
$30.20
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.68
Median
$4.68
Typical High
$6.17
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.09
Median
$3.09
Typical High
$4.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$60.26
Typical High
$67.61
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Select Health
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Select Health
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$75.86
Typical High
$77.62
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$77.62
Typical High
$107.15
United
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$31.62
Typical High
$61.66

Where Utah sits

The same service costs 2.8 times more in Hawaii than in New York. 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.

Utah· 48th of 51

$31.62

HI $81.28NY $29.51

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.