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PriMatrix

Pennsylvania rates for HCPCS Q4110

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

Rates data updated October 2026.

How much does PriMatrix cost?

$79.43

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $166 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$79.43$66.07 to $126
FacilityA hospital or hospital-owned outpatient department$166$97.72 to $214

How much rates vary

Facilitymedian $166 · 10th to 90th $66 to $479Professionalmedian $79 · 10th to 90th $66 to $126
$100$1K$10Kfacility $166professional $79

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$79.43
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$181.97
Typical High
$478.63
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$131.83
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$234.42
Geisinger
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$120.23
Typical High
$199.53
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$81.28
Typical High
$102.33
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$50.12
Typical High
$107.15
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$50.12
Typical High
$50.12
United
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$125.89
Typical High
$134.90

Where Pennsylvania sits

The same service costs 2.1 times more in North Dakota than in Kentucky. 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.

Pennsylvania· 37th of 51

$79.43

ND $141KY $66.07

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.