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Detailed Lipoprotein Fraction Measurement

Montana rates for HCPCS 0052U

Measures the cholesterol-carrying particles in blood in more detail than a standard cholesterol panel. Spinning the sample at high speed separates every major lipoprotein fraction — including HDL, LDL and VLDL — along with their subfractions, and each is measured and reported.

Rates data updated July 2026.

How much does Detailed Lipoprotein Fraction Measurement cost?

$42.66

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $48.98 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$42.66$33.88 to $53.70
FacilityA hospital or hospital-owned outpatient department$48.98$42.66 to $53.70

How much rates vary

Facilitymedian $49 · 10th to 90th $34 to $102Professionalmedian $43 · 10th to 90th $14 to $79
$20$50$100facility $49professional $43

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
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$102.33
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$102.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$52.48
Typical High
$74.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$53.70
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$33.88

Where Montana sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Montana· 6th of 51

$42.66

AK $75.86NE $22.39

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.