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Microlyte Matrix

California rates for HCPCS A2005

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

Rates data updated October 2026.

How much does Microlyte Matrix cost?

$135

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $204 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$126 to $204
FacilityA hospital or hospital-owned outpatient department$204$155 to $269

How much rates vary

Facilitymedian $204 · 10th to 90th $138 to $316Professionalmedian $135 · 10th to 90th $126 to $1,230
$200$500$1Kfacility $204professional $135

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
$144.54
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$144.54
Typical High
$173.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$69.18
Median
$72.44
Typical High
$87.10
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$27.54
Median
$28.84
Typical High
$34.67
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.89
Median
$21.88
Typical High
$26.30
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.80
Median
$14.45
Typical High
$17.38
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$181.97
Typical High
$263.03
Central California Alliance for Health
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$204.17
Typical High
$204.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$234.42
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Contra Costa Health
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$199.53
Typical High
$239.88
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$165.96
Typical High
$331.13
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,479.11
Providence
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$208.93
Typical High
$316.23
Providence
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$239.88

Where California sits

The same service costs 2.9 times more in Alaska 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.

California· 23rd of 51

$135

AK $339NC $117

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.