go back

Apligraf

Montana rates for HCPCS Q4101

Apligraf, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does Apligraf cost?

$33.11

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $33.11 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $38.02 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$33.11$30.90 to $45.71
FacilityA hospital or hospital-owned outpatient department$38.02$32.36 to $54.95

How much rates vary

Facilitymedian $38 · 10th to 90th $31 to $135Professionalmedian $33 · 10th to 90th $30 to $126
$100$1K$10K$100Kfacility $38professional $33

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
$30.20
Median
$33.11
Typical High
$41.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$64,565.42
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$34.67
Typical High
$125.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$35.48
Typical High
$58.88
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$35.48
Typical High
$58.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$37.15
Typical High
$181.97
Providence
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$60.26
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Montana sits

The same service costs 3.9 times more in Oregon than in Colorado. 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

$33.11

OR $117CO $30.20

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.