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Matrion

Alaska rates for HCPCS Q4201

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

Rates data updated October 2026.

How much does Matrion cost?

$141

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $204 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$141$141 to $257
FacilityA hospital or hospital-owned outpatient department$204$141 to $537

How much rates vary

Facilitymedian $204 · 10th to 90th $129 to $676Professionalmedian $141 · 10th to 90th $126 to $372
$100$200$500facility $204professional $141

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$38.90
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.85
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$11.75
Median
$21.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.76
Median
$14.13
Typical High
$14.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$141.25
Typical High
$204.17
Moda Health
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$416.87
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$537.03
Typical High
$741.31
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$338.84
Typical High
$398.11
Providence
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$186.21
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$107.15
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$190.55
Typical High
$346.74

Where Alaska sits

The same service costs 3.8 times more in Wyoming 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.

Alaska· 3rd of 51

$141

WY $288KY $75.86

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.