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Oasis Burn Matrix

Missouri 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?

$15.49

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $15.85 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$15.14$12.59 to $120
FacilityA hospital or hospital-owned outpatient department$15.85$12.88 to $100

How much rates vary

Facilitymedian $16 · 10th to 90th $13 to $209Professionalmedian $15 · 10th to 90th $13 to $132
$10$20$50$100$200facility $16professional $15

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
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.88
Typical High
$15.85
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$23.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$97.72
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$15.14
Typical High
$40.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.30
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$102.33
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$125.89
Typical High
$125.89

Where Missouri 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.

Missouri· 3rd of 51

$15.49

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.