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Derm-Maxx

Pennsylvania rates for HCPCS Q4238

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

Rates data updated October 2026.

How much does Derm-Maxx cost?

$1,445

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $490 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,445$126 to $2,512
FacilityA hospital or hospital-owned outpatient department$490$214 to $2,512

How much rates vary

Facilitymedian $490 · 10th to 90th $145 to $3,715Professionalmedian $1,445 · 10th to 90th $126 to $2,512
$100$500$2K$10K$50Kfacility $490professional $1,445

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
$1,445.44
Median
$1,445.44
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$724.44
Median
$724.44
Typical High
$741.31
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$288.40
Median
$288.40
Typical High
$295.12
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$144.54
Median
$144.54
Typical High
$147.91
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,511.89
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$213.80
Typical High
$489.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$162.18
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$2,187.76
Typical High
$2,570.40
Geisinger
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$151.36
Typical High
$2,511.89
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,479.11
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$724.44
Median
$724.44
Typical High
$741.31
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$288.40
Median
$288.40
Typical High
$295.12
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$144.54
Median
$144.54
Typical High
$147.91
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,445.44
Typical High
$2,089.30
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$125.89
Typical High
$165.96

Where Pennsylvania sits

The same service costs 21.9 times more in Wyoming than in North Carolina. 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.

Pennsylvania· 19th of 51

$1,445

WY $2,570NC $117

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.