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PalinGen or ProMatrX

Texas 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 Texas, 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 $2,138 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,259$1,259 to $1,259
FacilityA hospital or hospital-owned outpatient department$2,138$1,445 to $2,951

How much rates vary

Facilitymedian $2,138 · 10th to 90th $851 to $4,074Professionalmedian $1,259 · 10th to 90th $1,230 to $6,761
$500$1K$2K$5K$10Kfacility $2,138professional $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
$1,202.26
Median
$1,230.27
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,230.27
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$602.56
Median
$616.60
Typical High
$616.60
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$239.88
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$177.83
Median
$181.97
Typical High
$186.21
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$120.23
Median
$123.03
Typical High
$123.03
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$2,290.87
Typical High
$4,073.80
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,905.46
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Moda Health
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$1,737.80
Moda Health
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,230.27
Typical High
$1,230.27
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$602.56
Median
$616.60
Typical High
$616.60
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$239.88
Median
$245.47
Typical High
$245.47
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$177.83
Median
$181.97
Typical High
$186.21
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$120.23
Median
$123.03
Typical High
$123.03
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$288.40
Typical High
$380.19
Providence
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$1,445.44
Typical High
$10,964.78
Providence
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93

Where Texas 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.

Texas· 27th 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.