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Integra Matrix

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 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 7 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$48.98$38.90 to $58.88
FacilityA hospital or hospital-owned outpatient department$38.90$38.90 to $74.13

How much rates vary

Facilitymedian $39 · 10th to 90th $39 to $83Professionalmedian $49 · 10th to 90th $39 to $102
$20$50$100$200facility $39professional $49

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
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$69.18
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$58.88
Typical High
$64.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$75.86
Typical High
$87.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$48.98
Typical High
$199.53
Midlands
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$60.26
Midlands
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$169.82
Typical High
$204.17
Midlands
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$102.33
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$125.89
Typical High
$239.88
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90

Where South Dakota 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.

South Dakota· 10th 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.