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Pennsylvania rates for HCPCS 93042

Rhythm ECG, 1-3 leads; interpretation and report only

Facilitymedian $38 · 10th–90th $7–$2090%10%20%10th90th$38Professionalmedian $7 · 10th–90th $6–$150%20%10th90th$7$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
$7.08 / $38.02 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.08 / $15.49
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $18.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.92 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.12 / $14.79
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $8.32 / $13.80
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $9.12 / $15.14
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.91 / $22.91
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $208.93
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.08 / $15.14
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $912.01 / $912.01
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $16.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $6.03 / $6.61
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $8.71 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $8.91 / $14.45