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Removal Of Damaged Tissue Beneath The Skin

Montana rates for HCPCS 11042

This is a procedure to remove dead, damaged, or infected tissue from just beneath the skin's surface, in the fatty layer under the skin, to help a wound heal properly. It covers a defined smaller area of tissue treated during the procedure.

Rates data updated July 2026.

How much does Removal Of Damaged Tissue Beneath The Skin cost?

$307

Typical total for the visit. In Montana, July 2026.

Insurers have agreed to pay about $307 for this procedure. That total is two separate charges: $83.18 to the doctor who performs it, and $224 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$83.18$46.77 to $148
Facility feeThe hospital or surgery center$224$107 to $468

How much rates vary

Facilitymedian $224 · 10th to 90th $102 to $1,479Professionalmedian $83 · 10th to 90th $39 to $282
$10$100$1K$10K$100Kfacility $224professional $83

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
$380.19
Median
$831.76
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$75.86
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$173.78
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$102.33
Typical High
$194.98
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$181.97
Typical High
$239.88
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$181.97
Typical High
$239.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$117.49
Typical High
$194.98
Providence
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$95.50
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$223.87

Where Montana sits

The same service costs 17.0 times more in California 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.

Physician feeFacility fee

Montana· 51st of 51

$307

$83.18 physician + $224 facility

CA $5,220MT $307

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.