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AlloDerm

Indiana 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?

$30.90

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $162 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 4 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$26.30$25.12 to $35.48
FacilityA hospital or hospital-owned outpatient department$162$38.90 to $363

How much rates vary

Facilitymedian $162 · 10th to 90th $30 to $513Professionalmedian $26 · 10th to 90th $25 to $126
$20$100$500$2K$10Kfacility $162professional $26

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
$25.12
Median
$61.66
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$26.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$213.80
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Indiana 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.

Indiana· 18th of 51

$30.90

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.