go back

Gadoteridol (ProHance Multipack) Injection

Montana rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Rates data updated July 2026.

How much does ProHance (gadoteridol) cost?

$1.58

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1.58 for this service. The price depends on where it is billed: about $1.55 from a physician practice, and about $2.04 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$1.55$1.38 to $2.09
FacilityA hospital or hospital-owned outpatient department$2.04$1.58 to $4.57

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $35Professionalmedian $2 · 10th to 90th $1 to $7
$10$100$1K$10K$100Kfacility $2professional $2

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
$9.77
Median
$10.00
Typical High
$34.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.55
Typical High
$6.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$5.50
Typical High
$89,125.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$1.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$4.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.62
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$1.62
Typical High
$4.37
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.62
Typical High
$4.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$4.17
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$1.62
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.41

Where Montana sits

The same service costs 4.0 times more in West Virginia than in Georgia. 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· 15th of 51

$1.58

WV $5.50GA $1.38

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.