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EpiFix

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $174 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$155$151 to $324
FacilityA hospital or hospital-owned outpatient department$174$155 to $257

How much rates vary

Facilitymedian $174 · 10th to 90th $145 to $437Professionalmedian $155 · 10th to 90th $126 to $398
$100$200$500$1K$2K$5K$10Kfacility $174professional $155

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
$66.07
Median
$234.42
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$190.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$562.34
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$346.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$165.96
Typical High
$398.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$380.19
Sentara
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$691.83
Sentara
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Virginia 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.

Virginia· 11th 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.