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HMatrix

New York rates for HCPCS Q4134

HMatrix, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does HMatrix cost?

$135

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $186 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$126 to $162
FacilityA hospital or hospital-owned outpatient department$186$162 to $263

How much rates vary

Facilitymedian $186 · 10th to 90th $138 to $380Professionalmedian $135 · 10th to 90th $112 to $162
$100$200$500facility $186professional $135

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
$112.20
Median
$128.82
Typical High
$138.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$128.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$56.23
Median
$56.23
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.39
Median
$22.39
Typical High
$25.70
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.60
Median
$16.60
Typical High
$19.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.22
Median
$11.22
Typical High
$12.88
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$190.55
Typical High
$363.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$177.83
Typical High
$501.19
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$162.18
Typical High
$162.18
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$125.89
Typical High
$169.82
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$165.96
Univera
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$125.89
Typical High
$169.82

Where New York sits

The same service costs 2.3 times more in North Dakota than in North Carolina. 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· 22nd of 51

$135

ND $224NC $97.72

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.