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HYALOMATRIX

New York 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?

$24.55

Typical negotiated rate. In New York, July 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 $30.20 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 8 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$24.55$22.91 to $28.84
FacilityA hospital or hospital-owned outpatient department$30.20$24.55 to $138

How much rates vary

Facilitymedian $30 · 10th to 90th $23 to $174Professionalmedian $25 · 10th to 90th $19 to $126
$20$50$100$200$500facility $30professional $25

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
$19.95
Median
$22.91
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$23.99
Typical High
$27.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.84
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$165.96
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$138.04
Typical High
$338.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$24.55
Typical High
$239.88
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$30.20
Typical High
$30.20
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$30.20
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$24.55
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$24.55
Typical High
$134.90
Univera
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$30.20
Typical High
$30.20
Univera
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$30.20

Where New York 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.

New York· 17th of 51

$24.55

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.