go back

Pennsylvania rates for HCPCS 99116

Anesthesia complicated by utilization of total body hypothermia (List separately in addition to code for primary anesthesia procedure)

Facilitymedian $427 · 10th–90th $30–$5370%20%10th90th$427Professionalmedian $56 · 10th–90th $30–$5890%10%10th90th$56$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$30.20 / $426.58 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $50.12 / $588.84
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
$169.82 / $169.82 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $323.59 / $478.63
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $436.52
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $446.68 / $446.68
Johns Hopkins Employer Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $302.00 / $371.54
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $389.05 / $501.19
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $398.11 / $645.65
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.58 / $21.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.58 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $204.17 / $371.54