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SurGraft

Tennessee 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?

$120

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $186 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 4 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$117$100 to $129
FacilityA hospital or hospital-owned outpatient department$186$135 to $708

How much rates vary

Facilitymedian $186 · 10th to 90th $102 to $708Professionalmedian $117 · 10th to 90th $76 to $347
$50.0$100.0$200.0$500.0facility $186professional $117

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
$75.86
Median
$102.33
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$134.90
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$125.89

Where Tennessee 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.

Tennessee $120 · 46th 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.