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Grafix Core and GrafixPL Core

Rhode Island 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 Rhode Island, October 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $112 to $126.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $263 · 10th to 90th $166 to $407Professionalmedian $126 · 10th to 90th $112 to $126
$100$200$500facility $263professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.88
Median
$22.39
Typical High
$22.39
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.96
Median
$11.22
Typical High
$11.22
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$295.12
Typical High
$416.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$169.82
Typical High
$245.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Rhode Island 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.

Rhode Island· 25th 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.