go back

Matrion

Michigan 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?

$89.13

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $135 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$89.13$77.62 to $120
FacilityA hospital or hospital-owned outpatient department$135$120 to $204

How much rates vary

Facilitymedian $135 · 10th to 90th $79 to $224Professionalmedian $89 · 10th to 90th $76 to $126
$100$200facility $135professional $89

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
$77.62
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$79.43
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$38.90
Median
$38.90
Typical High
$39.81
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.76
Median
$7.76
Typical High
$7.94
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$125.89
Typical High
$125.89
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$186.21
Typical High
$223.87
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$77.62
Typical High
$102.33
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Priority Health
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Michigan 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.

Michigan· 46th of 51

$89.13

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.