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Grafix Core and GrafixPL Core

South Dakota 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 South Dakota, 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 7 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$89.13 to $135
FacilityA hospital or hospital-owned outpatient department$107$107 to $155

How much rates vary

Facilitymedian $107 · 10th to 90th $89 to $479Professionalmedian $107 · 10th to 90th $38 to $479
$50$100$200$500$1Kfacility $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
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$63.10
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$47.86
Typical High
$47.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$478.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$89.13
Typical High
$1,445.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$107.15
Typical High
$107.15
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$213.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$239.88
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15

Where South Dakota 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.

South Dakota· 51st of 51

$107

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.