go back

Infusion Under the Skin, Initial Hour

Pennsylvania rates for HCPCS 96369

Delivers medicine slowly into the fatty layer under the skin through a fine needle connected to a pump, instead of into a vein. It covers setting up the pump, establishing the site under the skin, and the first hour of the infusion; additional time and any further site are billed separately. It is often used for treatments such as immune globulin that are given at a steady, slow rate.

Rates data updated July 2026.

How much does Infusion Under the Skin, Initial Hour cost?

$158

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $158 for this service. Most negotiated rates run $135 to $204.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $158 · 10th to 90th $129 to $288
$200$500professional $158

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$158.49
Typical High
$218.78
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$138.04
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$323.59
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$234.42
Typical High
$234.42
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$134.90
Typical High
$218.78
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$134.90
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$295.12

Where Pennsylvania sits

The same service costs 3.0 times more in Alaska than in North Carolina. 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· 39th of 51

$158

AK $417NC $138

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.