Cost of a Joint Injection Visit
in Montana
Reviewed by Momentary Medical Group West PC
Montana's rural geography creates unique challenges for specialty care access, with patients often traveling significant distances for treatment. Joint Injection procedures in Montana typically cost between $70 and $95 based on insurer-negotiated rates, with a median out-of-pocket cost around $80 for common procedures. The state maintains 320 active providers offering joint injection services, giving patients throughout Montana reasonable access to care even in remote areas.
Average
$82
Median
$80
Lowest
$70
Highest
$95
Providers
320
32% below national average
Compare Similar Procedures
How does joint injection compare to related procedures in Montana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Skin Biopsy Tangential biopsy of skin | 11102 | $80 | $80 | $108 | 312 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $80 | $80 | $308 | 314 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $3 | $3 | $80 | 391 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 20610 — Arthrocentesis, aspiration and/or injection, major joint). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 20610 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 20610 (Arthrocentesis, aspiration and/or injection, major joint), as mandated by the CMS Price Transparency Rule.
What CPT 20610 covers: the provider's professional fee for joint injection. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Why Joint Injection Visit Costs Vary Across Montana
Montana's joint injection costs run approximately 4% above national averages, reflecting the state's rural healthcare challenges and limited specialist competition. The vast distances between population centers create natural service monopolies that can drive up procedure pricing despite lower general cost of living.
Urban vs. Rural Provider Availability
Billings and Missoula concentrate most of Montana's joint injection specialists, while rural counties often have no local options within 100 miles. Patients in eastern Montana frequently travel to North Dakota or Wyoming for specialist care, creating cross-border pricing dynamics. This geographic dispersion means urban providers can command premium pricing due to limited competition.
Facility Type and Overhead Costs
Hospital-owned outpatient clinics dominate Montana's specialist market, with systems like Billings Clinic and Providence St. Patrick controlling significant market share. Independent orthopedic and rheumatology practices face challenges competing against these integrated health systems. Hospital facility fees can add $100-200 to joint injection costs compared to freestanding clinics.
Insurance Market Competition in Montana
Blue Cross Blue Shield of Montana holds the largest market share, followed by PacificSource and UnitedHealthcare in select regions. Limited insurer competition reduces pressure on negotiated rates, contributing to higher-than-average procedure costs. The individual marketplace offers fewer plan choices than most states, giving insurers more pricing power.
Physician Supply and Demand in Montana
With 320 active joint injection providers serving nearly 1.1 million residents, Montana maintains reasonable specialist availability despite its rural nature. However, providers are heavily concentrated in Billings, Bozeman, Great Falls, and Missoula, creating access challenges for rural populations. This uneven distribution allows urban specialists to maintain higher pricing due to strong demand and limited competition.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Joint Injection Costs in Montana
What is the average cost of a Joint Injection visit in Montana without insurance?
Does Montana Medicaid cover Joint Injection visits?
How do I find an affordable Joint Injection near me in Montana?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Joint Injection visit in Montana?
How does telemedicine affect the cost of seeing a Joint Injection in Montana?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 20610)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $72 – $487 | $246 |
| 2 | Massachusetts Range: $55 – $538 | $227 |
| 3 | Minnesota Range: $57 – $487 | $224 |
| 4 | Rhode Island Range: $42 – $538 | $223 |
| 5 | Connecticut Range: $44 – $538 | $222 |
| 6 | Pennsylvania Range: $43 – $538 | $220 |
| 7 | Delaware Range: $41 – $538 | $220 |
| 8 | New York Range: $44 – $538 | $220 |
| 9 | Hawaii Range: $52 – $487 | $208 |
| 10 | North Dakota Range: $44 – $307 | $144 |
| 11 | Iowa Range: $61 – $256 | $142 |
| 12 | South Dakota Range: $48 – $268 | $134 |
| 13 | West Virginia Range: $42 – $264 | $131 |
| 14 | Michigan Range: $45 – $254 | $127 |
| 15 | New Hampshire Range: $65 – $185 | $122 |
| 16 | District of Columbia Range: $40 – $221 | $116 |
| 17 | Wyoming Range: $60 – $201 | $116 |
| 18 | Nebraska Range: $56 – $155 | $114 |
| 19 | Kentucky Range: $48 – $209 | $114 |
| 20 | Georgia Range: $45 – $211 | $114 |
| 21 | California Range: $64 – $185 | $112 |
| 22 | Idaho Range: $51 – $202 | $111 |
| 23 | Colorado Range: $45 – $208 | $111 |
| 24 | Indiana Range: $50 – $191 | $110 |
| 25 | Illinois Range: $50 – $191 | $108 |
| 26 | Maine Range: $75 – $128 | $105 |
| 27 | Oregon Range: $58 – $167 | $103 |
| 28 | New Jersey Range: $34 – $205 | $101 |
| 29 | Washington Range: $62 – $152 | $98 |
| 30 | North Carolina Range: $45 – $158 | $95 |
| 31 | New Mexico Range: $51 – $141 | $93 |
| 32 | Vermont Range: $48 – $152 | $92 |
| 33 | Utah Range: $37 – $142 | $90 |
| 34 | Maryland Range: $39 – $167 | $89 |
| 35 | Oklahoma Range: $38 – $136 | $87 |
| 36 | South Carolina Range: $42 – $131 | $83 |
| 37 | Texas Range: $45 – $119 | $83 |
| 38 | Mississippi Range: $38 – $151 | $82 |
| 39 | Montana Range: $70 – $95 | $82 |
| 40 | Alaska Range: $80 – $85 | $82 |
| 41 | Arkansas Range: $47 – $116 | $82 |
| 42 | Virginia Range: $35 – $138 | $80 |
| 43 | Nevada Range: $35 – $140 | $79 |
| 44 | Missouri Range: $43 – $101 | $77 |
| 45 | Louisiana Range: $38 – $115 | $75 |
| 46 | Ohio Range: $38 – $106 | $75 |
| 47 | Alabama Range: $38 – $117 | $74 |
| 48 | Tennessee Range: $42 – $111 | $74 |
| 49 | Kansas Range: $43 – $100 | $70 |
| 50 | Florida Range: $35 – $109 | $66 |
| 51 | Arizona Range: $38 – $102 | $64 |
