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TheraSkin

Indiana rates for HCPCS Q4121

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

Rates data updated October 2026.

How much does TheraSkin cost?

$53.70

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $182 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$53.70$52.48 to $126
FacilityA hospital or hospital-owned outpatient department$182$141 to $275

How much rates vary

Facilitymedian $182 · 10th to 90th $107 to $501Professionalmedian $54 · 10th to 90th $52 to $126
$50$100$200$500$1K$2Kfacility $182professional $54

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
$53.70
Median
$141.25
Typical High
$162.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$53.70
Typical High
$53.70
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$181.97
Typical High
$501.19
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$117.49
CareSource
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$79.43
Typical High
$104.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$229.09
Typical High
$346.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$616.60
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$275.42
Typical High
$2,089.30
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$97.72
Typical High
$234.42
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$173.78

Where Indiana sits

The same service costs 2.8 times more in Utah than in North Carolina. 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· 46th of 51

$53.70

UT $126NC $45.71

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.