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Pennsylvania rates for HCPCS 0312U

Rates data updated July 2026.

How much does HCPCS 0312U cost?

$708

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $1,622 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$676$661 to $708
FacilityA hospital or hospital-owned outpatient department$1,622$1,023 to $2,089

How much rates vary

Facilitymedian $1,622 · 10th to 90th $708 to $3,020Professionalmedian $676 · 10th to 90th $501 to $813
$500$1K$2K$5Kfacility $1,622professional $676

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
$707.95
Median
$1,621.81
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$794.33
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,148.15
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,202.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$1,230.27
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$1,445.44
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,778.28
Typical High
$3,019.95
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$2,454.71
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$2,089.30
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$831.76
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$831.76
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$524.81
Typical High
$1,258.93

Where Pennsylvania sits

The same service costs 2.3 times more in North Dakota 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· 28th of 51

$708

ND $1,259NE $550

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.