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TheraSkin

Missouri 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?

$110

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $178 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$110$97.72 to $126
FacilityA hospital or hospital-owned outpatient department$178$126 to $214

How much rates vary

Facilitymedian $178 · 10th to 90th $52 to $257Professionalmedian $110 · 10th to 90th $49 to $158
$50$100$200facility $178professional $110

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
$52.48
Median
$52.48
Typical High
$54.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$53.70
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$109.65
Typical High
$134.90
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$138.04
Typical High
$181.97
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$190.55
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$75.86
Typical High
$213.80
Medica
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$48.98
Typical High
$213.80
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$125.89
Typical High
$144.54

Where Missouri 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.

Missouri· 27th of 51

$110

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.