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SurGraft

Florida rates for HCPCS Q4209

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

Rates data updated October 2026.

How much does SurGraft cost?

$126

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $234 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$123 to $126
FacilityA hospital or hospital-owned outpatient department$234$145 to $240

How much rates vary

Facilitymedian $234 · 10th to 90th $107 to $240Professionalmedian $126 · 10th to 90th $85 to $129
$50$200$1K$5Kfacility $234professional $126

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
$72.44
Median
$102.33
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$123.03
Typical High
$128.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$36.31
Median
$60.26
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.45
Median
$24.55
Typical High
$25.70
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.96
Median
$18.20
Typical High
$19.05
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.24
Median
$12.30
Typical High
$12.88
AvMed
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$107.15
Typical High
$128.82
AvMed
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$107.15
Typical High
$131.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$190.55
Typical High
$263.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$239.88
Typical High
$239.88
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$102.33
Typical High
$131.83
Molina
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$50.12
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03

Where Florida sits

The same service costs 2.3 times more in North Dakota 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.

Florida· 43rd of 51

$126

ND $224NC $97.72

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.