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PalinGen or ProMatrX

Pennsylvania rates for HCPCS Q4174

PalinGen or ProMatrX, 0.36 mg per 0.25 cc

Rates data updated October 2026.

How much does PalinGen or ProMatrX cost?

$1,259

Typical negotiated rate. In Pennsylvania, October 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 $1,445 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,259$776 to $1,259
FacilityA hospital or hospital-owned outpatient department$1,445$776 to $4,571

How much rates vary

Facilitymedian $1,445 · 10th to 90th $724 to $4,898Professionalmedian $1,259 · 10th to 90th $776 to $1,259
$1K$2K$5K$10K$20K$50Kfacility $1,445professional $1,259

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
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$776.25
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$776.25
Typical High
$776.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$2,137.96
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$1,148.15
Typical High
$1,348.96
Geisinger
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$1,380.38

Where Pennsylvania sits

The same service costs 6.9 times more in Alaska 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.

Pennsylvania· 33rd of 51

$1,259

AK $1,995KY $288

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.