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HYALOMATRIX

Hawaii 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?

$27.54

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $27.54 for this service. Most negotiated rates run $24.55 to $126.

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

Professionalmedian $28 · 10th to 90th $25 to $174
$10$20$50$100$200professional $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
Professional
Modifier
None
Typical Low
$23.44
Median
$23.99
Typical High
$24.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$125.89
Typical High
$125.89
HMSA
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$28.18
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$165.96
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$125.89
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80

Where Hawaii 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.

Hawaii· 38th of 51

$27.54

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.