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Microlyte Matrix

Indiana 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?

$126

Typical negotiated rate. In Indiana, 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 $195 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$126 to $214
FacilityA hospital or hospital-owned outpatient department$195$141 to $295

How much rates vary

Facilitymedian $195 · 10th to 90th $126 to $537Professionalmedian $126 · 10th to 90th $117 to $219
$100$200$500$1K$2Kfacility $195professional $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
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$70.79
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$43.65
Typical High
$43.65
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.38
Median
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.13
Median
$21.88
Typical High
$21.88
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$186.21
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$117.49
Typical High
$154.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$870.96
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$912.01
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$169.82
Typical High
$234.42
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$173.78

Where Indiana 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.

Indiana· 38th of 51

$126

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.