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Microlyte Matrix

Washington 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?

$132

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $257 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 8 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 $219
FacilityA hospital or hospital-owned outpatient department$257$170 to $479

How much rates vary

Facilitymedian $257 · 10th to 90th $115 to $525Professionalmedian $126 · 10th to 90th $126 to $1,230
$100$200$500$1Kfacility $257professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$257.04
Typical High
$354.81
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$251.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$588.84
Typical High
$691.83
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$44.67
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$524.81
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$154.88
Typical High
$295.12

Where Washington 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.

Washington· 25th of 51

$132

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.