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Pennsylvania rates for HCPCS 20220

Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)

Facilitymedian $2,692 · 10th–90th $251–$7,2440%5%10%10th90th$2,692Professionalmedian $166 · 10th–90th $76–$4270%10%10th90th$166$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $2,691.53 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $162.18 / $457.09
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $5,248.07
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,691.53 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $302.00 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $169.82 / $363.08
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $363.08 / $457.09
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $234.42 / $363.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,548.13 / $7,244.36
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $85.11 / $173.78
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $5,248.07
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $1,513.56 / $6,165.95
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $177.83 / $446.68
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $263.03 / $426.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $269.15 / $309.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $245.47 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $2,570.40 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $181.97 / $380.19