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PalinGen or ProMatrX

North Carolina rates for HCPCS Q4174

PalinGen or ProMatrX, 0.36 mg per 0.25 cc

Rates data updated July 2026.

How much does PalinGen or ProMatrX cost?

$1,259

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $1,349 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 6 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$1,259$1,230 to $1,778
FacilityA hospital or hospital-owned outpatient department$1,349$1,259 to $1,660

How much rates vary

Facilitymedian $1,349 · 10th to 90th $1,230 to $2,399Professionalmedian $1,259 · 10th to 90th $1,230 to $1,778
$500$1K$2K$5Kfacility $1,349professional $1,259

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
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,258.93
Typical High
$1,258.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,905.46
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,348.96
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,398.83
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,258.93
Typical High
$1,348.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83

Where North Carolina sits

The same service costs 5.6 times more in New York than in Minnesota. 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.

North Carolina· 12th of 51

$1,259

NY $1,259MN $224

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.