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Gadoterate Meglumine Injection

Montana rates for HCPCS A9575 · Dotarem, Clariscan

Injection, gadoterate meglumine, 0.1 ml

Rates data updated July 2026.

How much does Gadoterate Meglumine Injection cost?

$0.14

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $0.14 for this service. The price depends on where it is billed: about $0.11 from a physician practice, and about $0.27 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 6 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$0.11$0.09 to $0.37
FacilityA hospital or hospital-owned outpatient department$0.27$0.14 to $1.10

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $6Professionalmedian $0 · 10th to 90th $0 to $1
$0.1$1$10$100$1K$10K$100Kfacility $0professional $0

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
$0.66
Median
$2.57
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.08
Median
$0.11
Typical High
$0.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.42
Median
$0.71
Typical High
$89,125.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.16
Median
$0.16
Typical High
$0.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$0.13
Typical High
$0.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$0.13
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$0.14
Median
$0.14
Typical High
$0.38
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$0.14
Median
$0.14
Typical High
$0.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$0.13
Typical High
$0.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$79.43
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$0.10

Where Montana sits

The same service costs 4.4 times more in Illinois than in North Dakota. 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· 20th of 51

$0.14

IL $0.39ND $0.09

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.