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Grafix Core and GrafixPL Core

Pennsylvania 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?

$107

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $107 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 8 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$107$107 to $126
FacilityA hospital or hospital-owned outpatient department$107$107 to $437

How much rates vary

Facilitymedian $107 · 10th to 90th $107 to $479Professionalmedian $107 · 10th to 90th $107 to $182
$100.0$1.0K$10.0Kfacility $107professional $107

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
$107.15
Median
$107.15
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$117.49
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$446.68
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$478.63
Typical High
$478.63
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$218.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$181.97
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$112.20
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$436.52
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$190.55

Where Pennsylvania 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.

Pennsylvania $107 · 42nd 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.