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TheraSkin

Montana rates for HCPCS Q4121

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

Rates data updated October 2026.

How much does TheraSkin cost?

$58.88

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $126 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58.88$57.54 to $79.43
FacilityA hospital or hospital-owned outpatient department$126$58.88 to $158

How much rates vary

Facilitymedian $126 · 10th to 90th $59 to $219Professionalmedian $59 · 10th to 90th $45 to $126
$50$100$200facility $126professional $59

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$54.95
Typical High
$66.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$61.66
Typical High
$234.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$158.49
Typical High
$208.93
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$141.25
Typical High
$158.49
Providence
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$61.66
Typical High
$234.42
Providence
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$58.88
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Montana sits

The same service costs 2.8 times more in Utah than in North Carolina. 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· 36th of 51

$58.88

UT $126NC $45.71

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.