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HYALOMATRIX

New Jersey 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?

$24.55

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $295 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$24.55$24.55 to $126
FacilityA hospital or hospital-owned outpatient department$295$166 to $14,454

How much rates vary

Facilitymedian $295 · 10th to 90th $126 to $21,878Professionalmedian $25 · 10th to 90th $25 to $126
$100$1K$10Kfacility $295professional $25

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
$23.99
Median
$24.55
Typical High
$24.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$169.82
Typical High
$257.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$24.55
Typical High
$194.98
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$13,489.63
Typical High
$25,703.96
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$141.25

Where New Jersey 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.

New Jersey· 42nd of 51

$24.55

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.