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Burn Care, Small Area

Montana rates for HCPCS 16020

Cleaning, dressing changes, and/or removal of damaged tissue for a partial-thickness burn covering a small area, generally under about 5% of the body's total skin surface. This can be an initial treatment or a follow-up visit as the burn heals.

Rates data updated July 2026.

How much does Burn Care, Small Area cost?

$225

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

Insurers have agreed to pay about $225 for this procedure. That total is two separate charges: $87.10 to the doctor who performs it, and $138 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$87.10$58.88 to $135
Facility feeThe hospital or surgery center$138$95.50 to $166

How much rates vary

Facilitymedian $138 · 10th to 90th $91 to $550Professionalmedian $87 · 10th to 90th $51 to $158
$100$1K$10K$100Kfacility $138professional $87

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
$245.47
Median
$331.13
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$234.42
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
$89.13
Median
$114.82
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$134.90
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$162.18
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$162.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$77.62
Typical High
$147.91
Providence
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$87.10
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$147.91

Where Montana sits

The same service costs 21.6 times more in California than in Maryland. 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· 50th of 51

$225

$87.10 physician + $138 facility

CA $3,800MD $176

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.