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Cygnus Matrix

Ohio 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?

$123

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $269 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$123$112 to $126
FacilityA hospital or hospital-owned outpatient department$269$145 to $355

How much rates vary

Facilitymedian $269 · 10th to 90th $112 to $417Professionalmedian $123 · 10th to 90th $107 to $170
$100$200$500facility $269professional $123

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
$794.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$112.20
Typical High
$169.82
CareSource
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
CareSource
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$151.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$275.42
Typical High
$416.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$199.53
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$275.42
Typical High
$363.08
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$199.53
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$87.10
Typical High
$102.33
SummaCare
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$141.25
Typical High
$158.49
SummaCare
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$123.03
Typical High
$151.36
United
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$125.89
Typical High
$165.96

Where Ohio 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.

Ohio· 46th of 51

$123

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.