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SurGraft

Alaska rates for HCPCS Q4209

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

Rates data updated July 2026.

How much does SurGraft cost?

$214

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $158 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$229$129 to $347
FacilityA hospital or hospital-owned outpatient department$158$132 to $191

How much rates vary

Facilitymedian $158 · 10th to 90th $117 to $363Professionalmedian $229 · 10th to 90th $126 to $407
$100.0$200.0$500.0$1.0K$2.0Kfacility $158professional $229

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
Professional
Modifier
Global
Typical Low
$117.49
Median
$128.82
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$363.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$154.88
Typical High
$354.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$380.19

Where Alaska sits

The same service costs 2.1 times more in Alaska than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alaska $214 · 1st of 51
AK $214VT $100

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.