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Miroderm

Pennsylvania rates for HCPCS Q4175

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

Rates data updated July 2026.

How much does Miroderm cost?

$93.33

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $93.33 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 8 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$93.33$91.20 to $95.50
FacilityA hospital or hospital-owned outpatient department$93.33$91.20 to $129

How much rates vary

Facilitymedian $93 · 10th to 90th $91 to $468Professionalmedian $93 · 10th to 90th $91 to $126
$100.0$1.0K$10.0Kfacility $93professional $93

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
$91.20
Median
$91.20
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$95.50
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$446.68
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$263.03
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$151.36
Typical High
$218.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$93.33
Typical High
$93.33
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$95.50
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$74.13
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$125.89
Typical High
$181.97

Where Pennsylvania sits

The same service costs 1.9 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $93.33 · 20th of 51
AK $170DE $91.20

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.