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Anesthesia With Deliberately Lowered Blood Pressure

Pennsylvania rates for HCPCS 99135

An addition to the anesthesia service, used when the anesthesia clinician intentionally lowers the patient's blood pressure and holds it down for part of the operation. Reducing pressure reduces bleeding into the surgical field, giving the surgeon a clear view for fine work, but it demands very close monitoring to keep enough blood reaching the brain, heart and kidneys. It is billed in addition to the main anesthesia service, never on its own.

Rates data updated July 2026.

How much does Anesthesia With Deliberately Lowered Blood Pressure cost?

$50.12

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $389 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 11 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$50.12$33.88 to $407
FacilityA hospital or hospital-owned outpatient department$389$30.20 to $479

How much rates vary

Facilitymedian $389 · 10th to 90th $13 to $537Professionalmedian $50 · 10th to 90th $30 to $537
$10.0$100.0$1.0K$10.0Kfacility $389professional $50

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
Facility
Modifier
Global
Typical Low
$30.20
Median
$467.74
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$562.34
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$478.63
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$436.52
Typical High
$1,071.52
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$446.68
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Johns Hopkins Employer Health Plan
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Johns Hopkins Employer Health Plan
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$371.54
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$537.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$354.81
Typical High
$537.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$33.11
Typical High
$33.11
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$7.59
Typical High
$16.22
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$436.52

Where Pennsylvania sits

The same service costs 15.5 times more in Nebraska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $50.12 · 30th of 51
NE $468DE $30.20

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.