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HYALOMATRIX

Oklahoma 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?

$115

Typical negotiated rate. In Oklahoma, October 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $141 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$28.84 to $126
FacilityA hospital or hospital-owned outpatient department$141$24.55 to $170

How much rates vary

Facilitymedian $141 · 10th to 90th $23 to $331Professionalmedian $115 · 10th to 90th $25 to $126
$20$50$100$200facility $141professional $115

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
$23.44
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$169.82
Typical High
$363.08
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
$24.55
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
$125.89

Where Oklahoma 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.

Oklahoma· 21st of 51

$115

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.