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Integra Matrix

New York rates for HCPCS Q4108

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

Rates data updated July 2026.

How much does Integra Matrix cost?

$48.98

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $38.90 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 9 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$50.12$44.67 to $61.66
FacilityA hospital or hospital-owned outpatient department$38.90$38.90 to $126

How much rates vary

Facilitymedian $39 · 10th to 90th $39 to $174Professionalmedian $50 · 10th to 90th $39 to $117
$100$1K$10Kfacility $39professional $50

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
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$40.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$51.29
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$165.96
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$151.36
Typical High
$338.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$162.18
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$39.81
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$39.81
Typical High
$39.81
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$125.89
Univera
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$42.66
Univera
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$39.81
Typical High
$39.81

Where New York sits

The same service costs 2.6 times more in Minnesota than in Texas. 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.

New York· 11th of 51

$48.98

MN $102TX $38.90

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.