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Grafix Core and GrafixPL Core

Illinois rates for HCPCS Q4132

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

Rates data updated October 2026.

How much does Grafix Core and GrafixPL Core cost?

$126

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $229 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$107 to $126
FacilityA hospital or hospital-owned outpatient department$229$186 to $282

How much rates vary

Facilitymedian $229 · 10th to 90th $166 to $1,072Professionalmedian $126 · 10th to 90th $107 to $145
$100$200$500$1K$2K$5Kfacility $229professional $126

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
$107.15
Median
$107.15
Typical High
$117.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$109.65
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$53.70
Median
$53.70
Typical High
$54.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.38
Median
$21.38
Typical High
$21.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.85
Median
$15.85
Typical High
$16.60
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.72
Median
$10.72
Typical High
$10.96
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$223.87
Typical High
$1,548.82
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$199.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$245.47
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$131.83
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$131.83
Typical High
$588.84
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Molina
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$169.82

Where Illinois sits

The same service costs 6.0 times more in Wyoming than in Montana. 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.

Illinois· 13th of 51

$126

WY $479MT $79.43

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.