go back

ArthroFlex

Montana rates for HCPCS Q4125

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

Rates data updated October 2026.

How much does ArthroFlex cost?

$126

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $219 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$126$79.43 to $138
FacilityA hospital or hospital-owned outpatient department$219$158 to $219

How much rates vary

Facilitymedian $219 · 10th to 90th $126 to $234Professionalmedian $126 · 10th to 90th $79 to $219
$100$200facility $219professional $126

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
$128.82
Median
$138.04
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$309.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$181.97
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$218.78
Typical High
$234.42
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$158.49
Typical High
$234.42
Providence
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$309.03
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
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 5.9 times more in North Dakota than in New York. 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· 35th of 51

$126

ND $224NY $38.02

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.