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HYALOMATRIX

Alaska rates for HCPCS Q4117

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

Rates data updated July 2026.

How much does HYALOMATRIX cost?

$53.70

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $33.88 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$66.07$23.99 to $302
FacilityA hospital or hospital-owned outpatient department$33.88$22.91 to $54.95

How much rates vary

Facilitymedian $34 · 10th to 90th $17 to $178Professionalmedian $66 · 10th to 90th $23 to $407
$20.0$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $34professional $66

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$23.99
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$29.51
Typical High
$158.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$3,467.37
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$31.62
Typical High
$34.67
Providence
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$33.88
Typical High
$302.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$190.55
Typical High
$380.19

Where Alaska sits

The same service costs 4.0 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alaska $53.70 · 2nd of 51
MN $91.20KY $22.91

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.