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PalinGen or ProMatrX

New Hampshire 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?

$1,148

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $1,413 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$1,023$288 to $1,259
FacilityA hospital or hospital-owned outpatient department$1,413$1,259 to $1,514

How much rates vary

Facilitymedian $1,413 · 10th to 90th $1,259 to $3,388Professionalmedian $1,023 · 10th to 90th $288 to $1,259
$500$1K$2Kfacility $1,413professional $1,023

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
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$1,513.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,511.89
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$1,047.13
Typical High
$1,258.93
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,041.74

Where New Hampshire 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.

New Hampshire· 50th of 51

$1,148

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.