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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

South Carolina 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?

$138

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $182 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$138$135 to $145
FacilityA hospital or hospital-owned outpatient department$182$145 to $309

How much rates vary

Facilitymedian $182 · 10th to 90th $138 to $537Professionalmedian $138 · 10th to 90th $126 to $151
$100$200$500facility $182professional $138

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
$144.54
Median
$194.98
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$138.04
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$125.89

Where South Carolina 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.

South Carolina· 34th of 51

$138

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.