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Restorigin

North Carolina rates for HCPCS Q4191

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

Rates data updated July 2026.

How much does Restorigin cost?

$417

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $490 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 6 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$417$95.50 to $661
FacilityA hospital or hospital-owned outpatient department$490$417 to $794

How much rates vary

Facilitymedian $490 · 10th to 90th $158 to $1,905Professionalmedian $417 · 10th to 90th $89 to $692
$100$200$500$1K$2Kfacility $490professional $417

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
$416.87
Median
$416.87
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$660.69
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$144.54
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$181.97
Medcost
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$660.69
Typical High
$1,905.46
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$208.93
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$147.91
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,630.78

Where North Carolina sits

The same service costs 2.8 times more in Wisconsin 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.

North Carolina· 50th of 51

$417

WI $724MN $257

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.