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HYALOMATRIX

Nationwide rates for HCPCS Q4117

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

Rates data updated July 2026.

Facilitymedian $31 · 10th–90th $20$2400%20%10th90th$31Professionalmedian $25 · 10th–90th $20$1260%50%10th90th$25$0.1$1.0$20.0$500.0$10.0K$200.0K

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
$22.91
Median
$23.99
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$23.99
Typical High
$28.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$30.90
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$28.18
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$177.83
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$125.89
Typical High
$125.89