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HYALOMATRIX

Minnesota 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?

$91.20

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $42.66 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$102$22.39 to $126
FacilityA hospital or hospital-owned outpatient department$42.66$27.54 to $56.23

How much rates vary

Facilitymedian $43 · 10th to 90th $25 to $257Professionalmedian $102 · 10th to 90th $17 to $126
$10$20$50$100$200facility $43professional $102

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
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$23.44
Typical High
$28.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$37.15
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$107.15
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$45.71
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$20.42
Typical High
$21.88
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$44.67
Typical High
$64.57
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$23.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$38.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$125.89
Typical High
$239.88

Where Minnesota sits

The same service costs 4.0 times more in Minnesota 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.

Minnesota· 1st of 51

$91.20

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.