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GammaGraft

Utah 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?

$9.12

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $9.12 for this service. The price depends on where it is billed: about $8.71 from a physician practice, and about $9.12 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 7 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$8.71$7.94 to $83.18
FacilityA hospital or hospital-owned outpatient department$9.12$9.12 to $10.47

How much rates vary

Facilitymedian $9 · 10th to 90th $9 to $120Professionalmedian $9 · 10th to 90th $8 to $126
$10$20$50$100$200$500facility $9professional $9

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
$9.12
Median
$9.12
Typical High
$9.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$8.51
Typical High
$9.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$10.96
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$9.77
Typical High
$75.86
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$131.83
Typical High
$162.18
Select Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Select Health
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$120.23
Typical High
$144.54
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Utah 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.

Utah· 7th of 51

$9.12

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.