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PalinGen or ProMatrX

Washington 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 Washington, 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 $1,259 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$1,259$1,259 to $1,259
FacilityA hospital or hospital-owned outpatient department$1,259$1,259 to $1,778

How much rates vary

Facilitymedian $1,259 · 10th to 90th $1,230 to $2,455Professionalmedian $1,259 · 10th to 90th $1,259 to $1,259
$2K$5Kfacility $1,259professional $1,259

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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
$1,230.27
Median
$1,258.93
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$616.60
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$245.47
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$186.21
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$123.03
Median
$125.89
Typical High
$125.89
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,995.26
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$2,344.23
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$0.52
Median
$0.52
Typical High
$0.52
Molina
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$75.86
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,258.93
Premera BCBS
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 Washington 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.

Washington· 29th 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.