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HYALOMATRIX

Virginia 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 Virginia, 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 $27.54 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$27.54$24.55 to $38.90

How much rates vary

Facilitymedian $28 · 10th to 90th $24 to $191Professionalmedian $25 · 10th to 90th $23 to $126
$2.0$10.0$50.0$200.0facility $28professional $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
$24.55
Median
$24.55
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$24.55
Typical High
$24.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$43.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$131.83
Typical High
$239.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$28.84
Typical High
$44.67
Medcost
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.84
Typical High
$109.65
Sentara
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$28.84
Typical High
$42.66
Sentara
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$28.84
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$125.89
Typical High
$128.82

Where Virginia sits

The same service costs 4.0 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $24.55 · 22nd of 51
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.