go back

TheraSkin

California rates for HCPCS Q4121

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

Rates data updated July 2026.

Facilitymedian $68 · 10th–90th $52$2190%20%40%10th90th$68Professionalmedian $55 · 10th–90th $38$2000%20%40%10th90th$55$0.1$2.0$50.0$1.0K$20.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$53.70
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$199.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$151.36
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$57.54
Typical High
$120.23
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$32.36
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$50.12
Typical High
$239.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$169.82
Typical High
$269.15
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$48.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$100.00
Typical High
$229.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$125.89
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$125.89
Typical High
$162.18