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GammaGraft

New York rates for HCPCS Q4111

GammaGraft, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does GammaGraft cost?

$7.94

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $7.94 for this service. The price depends on where it is billed: about $7.94 from a physician practice, and about $7.94 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 9 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$7.94$7.76 to $8.13
FacilityA hospital or hospital-owned outpatient department$7.94$7.94 to $120

How much rates vary

Facilitymedian $8 · 10th to 90th $8 to $174Professionalmedian $8 · 10th to 90th $8 to $107
$10$100$1K$10Kfacility $8professional $8

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
$7.94
Median
$7.94
Typical High
$7.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$8.32
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.94
Typical High
$16.22
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$7.41
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$165.96
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$138.04
Typical High
$338.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$162.18
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$8.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$8.13
Typical High
$8.13
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.76
Typical High
$9.12
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.76
Typical High
$125.89
Univera
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$8.71
Univera
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$8.13
Typical High
$8.13

Where New York sits

The same service costs 5.1 times more in Minnesota than in Massachusetts. 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 York· 37th of 51

$7.94

MN $40.74MA $7.94

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.