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Revita

New York rates for HCPCS Q4180

Revita, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does Revita cost?

$661

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $661 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$661$661 to $708
FacilityA hospital or hospital-owned outpatient department$661$209 to $661

How much rates vary

Facilitymedian $661 · 10th to 90th $138 to $776Professionalmedian $661 · 10th to 90th $126 to $1,122
$100$200$500$1K$2K$5K$10Kfacility $661professional $661

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
$144.54
Median
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$660.69
Typical High
$660.69
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$295.12
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$537.03
Typical High
$2,137.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$1,202.26
Typical High
$1,412.54
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$676.08
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$676.08
Typical High
$676.08
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$1,096.48
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$1,023.29
Typical High
$1,548.82
Univera
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$724.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$676.08
Typical High
$676.08

Where New York sits

The same service costs 3.9 times more in Wyoming than in North Carolina. 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.

New York· 46th of 51

$661

WY $708NC $182

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.