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Lymph Vessel X-ray of Both Limbs

Montana rates for HCPCS 75803

X-ray imaging of the lymph channels and nodes of the limbs, taken after an oily contrast dye is injected into a tiny lymph vessel on each side. The pictures show where lymph fluid is blocked, leaking, or taking an abnormal route. This covers the study of both limbs and the radiologist's interpretation.

Rates data updated July 2026.

How much does Lymph Vessel X-ray of Both Limbs cost?

$1,175

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $447 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$1,230$1,023 to $1,698
FacilityA hospital or hospital-owned outpatient department$447$427 to $871

How much rates vary

Facilitymedian $447 · 10th to 90th $363 to $2,291Professionalmedian $1,230 · 10th to 90th $427 to $4,169
$100$1K$10K$100K$1Mfacility $447professional $1,230

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
$1,148.15
Median
$1,548.82
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$398.11
Typical High
$707.95
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$436.52
Typical High
$4,570.88
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$436.52
Typical High
$4,570.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$575.44
Typical High
$2,290.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$1,819,700.86
Typical High
$2,398,832.92
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$1,698.24
Typical High
$2,818.38

Where Montana sits

The same service costs 4.3 times more in Louisiana than in Hawaii. 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· 18th of 51

$1,175

LA $1,660HI $389

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.