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HYALOMATRIX

Missouri 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?

$110

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $155 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$110$97.72 to $126
FacilityA hospital or hospital-owned outpatient department$155$107 to $209

How much rates vary

Facilitymedian $155 · 10th to 90th $23 to $263Professionalmedian $110 · 10th to 90th $29 to $138
$20$50$100$200facility $155professional $110

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
$22.91
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$109.65
Typical High
$138.04
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$138.04
Typical High
$177.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$190.55
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$28.84
Typical High
$107.15
Medica
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$28.84
Typical High
$109.65
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$125.89
Typical High
$144.54

Where Missouri 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.

Missouri· 22nd of 51

$110

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.