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Cygnus Matrix

Indiana rates for HCPCS Q4199

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

Rates data updated October 2026.

How much does Cygnus Matrix cost?

$112

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $195 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$112$112 to $126
FacilityA hospital or hospital-owned outpatient department$195$141 to $309

How much rates vary

Facilitymedian $195 · 10th to 90th $126 to $631Professionalmedian $112 · 10th to 90th $112 to $158
$100$200$500$1K$2Kfacility $195professional $112

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
$112.20
Median
$112.20
Typical High
$147.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$186.21
Typical High
$501.19
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$144.54
CareSource
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$165.96
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$346.74
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
$234.42
Median
$630.96
Typical High
$2,137.96
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$331.13
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$218.78

Where Indiana sits

The same service costs 3.9 times more in Hawaii than in Kentucky. 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· 50th of 51

$112

HI $437KY $112

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.