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SurFactor or NuDyn

Wisconsin rates for HCPCS Q4233

SurFactor or NuDyn, per 0.5 cc

Rates data updated July 2026.

How much does SurFactor or NuDyn cost?

$5,129

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $5,129 for this service. Most negotiated rates run $5,129 to $5,129.

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.

How much rates vary

Facilitymedian $100 · 10th to 90th $65 to $100Professionalmedian $5,129 · 10th to 90th $5,129 to $5,129
$100$200$500$1K$2K$5Kfacility $100professional $5,129

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$70.79
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00

Where Wisconsin sits

The same service costs 51.3 times more in Louisiana than in Oklahoma. 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.

Wisconsin· 41st of 50

$5,129

LA $5,129OK $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.