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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

Minnesota rates for HCPCS Q4133

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

Rates data updated July 2026.

How much does Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL cost?

$126

Typical negotiated rate. In Minnesota, July 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 $257 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 6 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$126$110 to $138
FacilityA hospital or hospital-owned outpatient department$257$158 to $355

How much rates vary

Facilitymedian $257 · 10th to 90th $135 to $468Professionalmedian $126 · 10th to 90th $107 to $151
$100$200$500facility $257professional $126

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
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$251.19
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$371.54
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$154.88
Typical High
$177.83
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$524.81
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$173.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$302.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$263.03

Where Minnesota sits

The same service costs 1.7 times more in Alaska than in Minnesota. 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.

Minnesota· 51st of 51

$126

AK $219MN $126

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.