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TheraSkin

Minnesota 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?

$67.61

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $85.11 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$67.61$52.48 to $186
FacilityA hospital or hospital-owned outpatient department$85.11$54.95 to $141

How much rates vary

Facilitymedian $85 · 10th to 90th $51 to $251Professionalmedian $68 · 10th to 90th $49 to $229
$50$100$200facility $85professional $68

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
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$74.13
Typical High
$257.04
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$194.98
Typical High
$239.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$125.89
Typical High
$194.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$58.88
Typical High
$67.61
Health Partners
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$114.82
Typical High
$194.98
Health Partners
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Medica
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$48.98
Typical High
$83.18
Medica
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$213.80
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$186.21
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Minnesota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$26.92
Median
$42.66
Typical High
$125.89

Where Minnesota 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.

Minnesota· 34th of 51

$67.61

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.