go back

Matrion

Virginia rates for HCPCS Q4201

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

Rates data updated July 2026.

Facilitymedian $170 · 10th–90th $76$3720%10%20%10th90th$170Professionalmedian $126 · 10th–90th $76$3390%20%10th90th$126$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$478.63
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$302.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$85.11
Typical High
$338.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$316.23
Sentara
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$912.01
Sentara
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$134.90