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Pennsylvania rates for HCPCS 54100

Biopsy of penis; (separate procedure)

Facilitymedian $2,344 · 10th–90th $186$8,3180%5%10th90th$2,344Professionalmedian $209 · 10th–90th $115$5010%20%10th90th$209$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
$186.21 / $2,344.23 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $208.93 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,466.84 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $204.17 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $204.17 / $331.13
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $346.74
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $245.47 / $354.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,698.24 / $6,606.93
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $1,513.56 / $6,165.95
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $194.98 / $407.38
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $309.03 / $426.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $194.98 / $309.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $194.98 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,951.21 / $5,888.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $186.21 / $331.13