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AlloDerm

Alaska rates for HCPCS Q4116

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

Rates data updated July 2026.

How much does AlloDerm cost?

$126

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $41.69 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$141$25.70 to $309
FacilityA hospital or hospital-owned outpatient department$41.69$30.90 to $77.62

How much rates vary

Facilitymedian $42 · 10th to 90th $27 to $178Professionalmedian $141 · 10th to 90th $25 to $407
$50$100$200$500$1K$2Kfacility $42professional $141

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
$72.44
Median
$72.44
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.70
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$79.43
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$102.33
Typical High
$3,467.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$41.69
Typical High
$302.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$190.55
Typical High
$380.19

Where Alaska sits

The same service costs 4.9 times more in Wisconsin than in Nevada. 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.

Alaska· 2nd of 51

$126

WI $126NV $25.70

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.