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EpiFix

Kansas 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?

$170

Typical negotiated rate. In Kansas, October 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $186 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$151$126 to $186
FacilityA hospital or hospital-owned outpatient department$186$178 to $191

How much rates vary

Facilitymedian $186 · 10th to 90th $170 to $214Professionalmedian $151 · 10th to 90th $126 to $380
$200$500facility $186professional $151

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$223.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$169.82
Typical High
$204.17
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$75.86
Median
$85.11
Typical High
$102.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$30.20
Median
$33.88
Typical High
$40.74
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$22.91
Median
$25.12
Typical High
$30.90
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.14
Median
$16.98
Typical High
$20.42
BCBS Kansas
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$190.55
Typical High
$190.55
BCBS Kansas
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$169.82
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$398.11
Typical High
$398.11
Medica
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$691.83
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Kansas 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.

Kansas· 6th of 51

$170

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.