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Grafix Core and GrafixPL Core

Alaska rates for HCPCS Q4132

Grafix Core and GrafixPL Core, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does Grafix Core and GrafixPL Core cost?

$200

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $178 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 6 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$200$107 to $339
FacilityA hospital or hospital-owned outpatient department$178$129 to $339

How much rates vary

Facilitymedian $178 · 10th to 90th $107 to $617Professionalmedian $200 · 10th to 90th $107 to $513
$100$200$500$1K$2Kfacility $178professional $200

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
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$338.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$616.60
Typical High
$1,230.27
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$676.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$177.83
Typical High
$549.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$389.05

Where Alaska sits

The same service costs 1.9 times more in Alaska than in South Dakota. 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.

Alaska· 1st of 51

$200

AK $200SD $107

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.