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HYALOMATRIX

Massachusetts 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?

$126

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $126 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$24.55 to $158
FacilityA hospital or hospital-owned outpatient department$126$41.69 to $200

How much rates vary

Facilitymedian $126 · 10th to 90th $28 to $234Professionalmedian $126 · 10th to 90th $18 to $275
$20$100$500$2Kfacility $126professional $126

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
$24.55
Median
$24.55
Typical High
$24.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$125.89
Typical High
$204.17
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$125.89
Typical High
$660.69
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$30.90
Typical High
$56.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$229.09
Typical High
$389.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$181.97
Typical High
$363.08
Fallon Health
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$199.53
Typical High
$234.42
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$16.98
Typical High
$125.89
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$125.89
Typical High
$204.17
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$125.89
Typical High
$660.69
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$141.25
Well Sense
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$36.31
Typical High
$64.57
Well Sense
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70

Where Massachusetts 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.

Massachusetts· 4th of 51

$126

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.