go back

Matrion

New York rates for HCPCS Q4201

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

Rates data updated July 2026.

Facilitymedian $78 · 10th–90th $76$2880%50%10th90th$78Professionalmedian $78 · 10th–90th $76$1740%20%40%10th90th$78$100.0$500.0$2.0K$10.0K$50.0K

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
$75.86
Median
$75.86
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$79.43
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$288.40
Typical High
$501.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$257.04
Typical High
$288.40
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$79.43
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$79.43
Typical High
$79.43
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$257.04
Univera
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$83.18
Univera
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$79.43
Typical High
$79.43