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Cygnus Matrix

Texas rates for HCPCS Q4199

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

Rates data updated July 2026.

Facilitymedian $112 · 10th–90th $12$5500%20%10th90th$112Professionalmedian $112 · 10th–90th $112$1350%50%90th$112$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$12.30
Typical High
$33.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Christus
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$316.23
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,258.93
Typical High
$1,258.93
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$114.82
Typical High
$323.59
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$354.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$398.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$229.09