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EpiFix

Idaho rates for HCPCS Q4186

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

Rates data updated July 2026.

How much does EpiFix cost?

$158

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $234 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 8 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$151$151 to $191
FacilityA hospital or hospital-owned outpatient department$234$151 to $417

How much rates vary

Facilitymedian $234 · 10th to 90th $117 to $457Professionalmedian $151 · 10th to 90th $126 to $339
$200$500$1K$2Kfacility $234professional $151

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
$117.49
Median
$389.05
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$190.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$398.11
Typical High
$2,818.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$144.54
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$177.83
Typical High
$398.11
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$218.78
Typical High
$251.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$117.49
Typical High
$138.04
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$151.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$302.00
Select Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Idaho sits

The same service costs 1.6 times more in Alaska than in Minnesota. 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.

Idaho· 10th of 51

$158

AK $214MN $135

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.