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EpiFix

Washington, DC rates for HCPCS Q4186

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

Rates data updated October 2026.

How much does EpiFix cost?

$126

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $97.72 to $151.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $263 · 10th to 90th $151 to $380Professionalmedian $126 · 10th to 90th $98 to $162
$100$200$500facility $263professional $126

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
$151.36
Median
$151.36
Typical High
$380.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$158.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
CareFirst
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$263.03
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$144.54
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$309.03
Typical High
$346.74
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$213.80

Where Washington, DC sits

The same service costs 2.9 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.

Washington, DC· 40th of 51

$126

WY $339NC $117

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.