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Derm-Maxx

Montana rates for HCPCS Q4238

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

Rates data updated July 2026.

How much does Derm-Maxx cost?

$1,479

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,479 for this service. The price depends on where it is billed: about $1,479 from a physician practice, and about $1,445 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 5 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$1,479$1,413 to $1,585
FacilityA hospital or hospital-owned outpatient department$1,445$1,413 to $1,820

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,349 to $2,138Professionalmedian $1,479 · 10th to 90th $126 to $1,950
$100$200$500$1K$2K$5Kfacility $1,445professional $1,479

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
$1,445.44
Median
$1,584.89
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$1,862.09
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,137.96
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,137.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,479.11
Typical High
$1,949.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Montana sits

The same service costs 6.9 times more in South Dakota than in Minnesota. 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· 4th of 51

$1,479

SD $1,660MN $240

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.