go back

Grafix Core and GrafixPL Core

Montana 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?

$117

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $129 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 5 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$117$107 to $126
FacilityA hospital or hospital-owned outpatient department$129$117 to $214

How much rates vary

Facilitymedian $129 · 10th to 90th $107 to $398Professionalmedian $117 · 10th to 90th $107 to $309
$50.0$100.0$200.0$500.0facility $129professional $117

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
$117.49
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$125.89
Typical High
$181.97
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$128.82
Typical High
$467.74
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$128.82
Typical High
$467.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$131.83
Typical High
$354.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$85.11
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Montana sits

The same service costs 1.9 times more in Alaska than in South Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $117 · 12th of 51
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.