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HYALOMATRIX

Georgia rates for HCPCS Q4117

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

Rates data updated October 2026.

How much does HYALOMATRIX cost?

$28.18

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $28.18 for this service. Most negotiated rates run $27.54 to $34.67.

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.

How much rates vary

Facilitymedian $158 · 10th to 90th $126 to $234Professionalmedian $28 · 10th to 90th $23 to $126
$20$50$100$200$500facility $158professional $28

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
$23.99
Median
$23.99
Typical High
$23.99
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$27.54
Typical High
$28.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$158.49
Typical High
$257.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$144.54
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$128.82
Typical High
$154.88
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$239.88
United
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$125.89
Typical High
$169.82

Where Georgia sits

The same service costs 8.3 times more in North Dakota than in Kentucky. 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.

Georgia· 37th of 51

$28.18

ND $141KY $16.98

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.