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SurgiGRAFT

New Hampshire rates for HCPCS Q4183

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

Rates data updated July 2026.

How much does SurgiGRAFT cost?

$85.11

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $102 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 6 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$85.11$85.11 to $126
FacilityA hospital or hospital-owned outpatient department$102$85.11 to $162

How much rates vary

Facilitymedian $102 · 10th to 90th $85 to $295Professionalmedian $85 · 10th to 90th $85 to $138
$100$200facility $102professional $85

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
$85.11
Median
$85.11
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$125.89
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$162.18

Where New Hampshire sits

The same service costs 1.9 times more in Wisconsin than in Kentucky. 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 Hampshire· 20th of 51

$85.11

WI $151KY $81.28

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.