go back

Blood Cleaning Through A Charcoal Filter

Pennsylvania rates for HCPCS 90997

A treatment in which blood is drawn out of the body, passed through a cartridge packed with a binding material such as activated charcoal, and returned. The material traps toxins that would otherwise stay in the bloodstream.

Rates data updated July 2026.

How much does Blood Cleaning Through A Charcoal Filter cost?

$91.20

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $170 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 9 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$91.20$83.18 to $97.72
FacilityA hospital or hospital-owned outpatient department$170$110 to $525

How much rates vary

Facilitymedian $170 · 10th to 90th $85 to $550Professionalmedian $91 · 10th to 90th $78 to $126
$100$200$500facility $170professional $91

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
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$87.10
Typical High
$109.65
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$91.20
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$190.55
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$107.15
Typical High
$162.18
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$102.33
Typical High
$151.36
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$114.82
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$213.80
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$478.63
Typical High
$549.54
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$85.11
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$165.96

Where Pennsylvania sits

The same service costs 2.3 times more in Minnesota than in West Virginia. 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· 33rd of 51

$91.20

MN $200WV $87.10

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.