go back

Oasis Burn Matrix

Alaska rates for HCPCS Q4103

Oasis burn matrix, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does Oasis Burn Matrix cost?

$23.44

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $16.60 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 6 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$57.54$12.59 to $302
FacilityA hospital or hospital-owned outpatient department$16.60$12.59 to $25.70

How much rates vary

Facilitymedian $17 · 10th to 90th $12 to $178Professionalmedian $58 · 10th to 90th $13 to $407
$10$50$200$1Kfacility $17professional $58

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
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$13.80
Typical High
$33.11
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$489.78
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$20.89
Typical High
$38.02
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.60
Typical High
$18.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$16.60
Typical High
$302.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$190.55
Typical High
$389.05

Where Alaska sits

The same service costs 8.1 times more in Minnesota than in Alabama. 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.

Alaska· 2nd of 51

$23.44

MN $102AL $12.59

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.