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Forensic Cytology Examination

Pennsylvania rates for HCPCS 88125

A microscope examination of material collected for legal or investigative purposes, for example checking a specimen for the presence of sperm. A laboratory professional prepares the material on a slide, examines it, and reports what is found.

Rates data updated July 2026.

How much does Forensic Cytology Examination cost?

$21.38

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $26.92 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$21.38$14.79 to $25.12
FacilityA hospital or hospital-owned outpatient department$26.92$0.50 to $42.66

How much rates vary

Facilitymedian $27 · 10th to 90th $0 to $50Professionalmedian $21 · 10th to 90th $13 to $48
$0.5$2$10$50$200facility $27professional $21

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$21.38
Typical High
$204.17
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$48.98
Typical High
$52.48
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$29.51
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$16.60
Typical High
$33.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$40.74
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$31.62
Typical High
$45.71
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$21.38
Typical High
$33.11
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$0.37
Median
$0.50
Typical High
$42.66
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$26.92
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$25.70
Typical High
$46.77

Where Pennsylvania sits

The same service costs 3.2 times more in Minnesota than in Delaware. 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· 34th of 51

$21.38

MN $58.88DE $18.62

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.