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Oasis Burn Matrix

Virginia 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?

$12.59

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $13.18 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 8 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$12.59$12.59 to $15.14
FacilityA hospital or hospital-owned outpatient department$13.18$12.59 to $18.62

How much rates vary

Facilitymedian $13 · 10th to 90th $13 to $186Professionalmedian $13 · 10th to 90th $12 to $126
$2$5$10$20$50$100$200facility $13professional $13

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
$13.18
Typical High
$13.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$15.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$21.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$131.83
Typical High
$239.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Medcost
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$13.18
Typical High
$22.91
Medcost
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$109.65
Sentara
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$14.13
Typical High
$18.20
Sentara
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.13
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$125.89

Where Virginia 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.

Virginia· 34th of 51

$12.59

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.