go back

Pennsylvania rates for HCPCS 0036U

Rates data updated July 2026.

How much does HCPCS 0036U cost?

$4,074

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,074 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $9,120 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 8 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$3,890$2,884 to $4,074
FacilityA hospital or hospital-owned outpatient department$9,120$5,754 to $12,023

How much rates vary

Facilitymedian $9,120 · 10th to 90th $4,074 to $16,982Professionalmedian $3,890 · 10th to 90th $2,630 to $4,786
$2K$5K$10K$20Kfacility $9,120professional $3,890

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
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$9,120.11
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,890.45
Typical High
$4,466.84
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,606.93
Typical High
$16,218.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$22,908.68
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,760.83
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$9,120.11
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,000.00
Typical High
$16,982.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,890.45
Typical High
$14,125.38
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$5,248.07
Typical High
$11,748.98
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,786.30
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,884.03
Typical High
$6,309.57

Where Pennsylvania sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Pennsylvania· 30th of 51

$4,074

AK $10,715NE $3,162

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.