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Restorigin

Washington, DC rates for HCPCS Q4191

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

Rates data updated October 2026.

How much does Restorigin cost?

$661

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

Insurers have agreed to pay about $661 for this service. Most negotiated rates run $126 to $661.

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 $282 · 10th to 90th $195 to $661Professionalmedian $661 · 10th to 90th $126 to $661
$100$200$500$1Kfacility $282professional $661

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
$660.69
Median
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
CareFirst
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
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
$1,584.89
Typical High
$3,090.30
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$213.80

Where Washington, DC sits

The same service costs 12.6 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· 17th of 51

$661

WY $1,479NC $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.