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Montana rates for HCPCS 19001

Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure)

Facilitymedian $44 · 10th–90th $35–$490%20%40%10th90th$44Professionalmedian $35 · 10th–90th $20–$1100%10%20%10th90th$35$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $32.36 / $109.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $77,624.71 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $30.20 / $41.69
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $43.65 / $46.77
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $43.65 / $46.77
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $31.62 / $46.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $42.66 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $41.69 / $67.61