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Clinician Standby And Newborn Stabilization At Delivery

Pennsylvania rates for HCPCS 99464

A physician or other qualified clinician is present at a baby's delivery specifically to examine and stabilize the newborn immediately after birth, separate from the care given to the delivering parent. This is used when the delivering clinician specifically requests that a second clinician attend for the newborn's sake, such as in a higher-risk delivery. It covers the newborn's initial check and any stabilization needed right after birth, not an ongoing hospital stay.

Rates data updated July 2026.

How much does Clinician Standby And Newborn Stabilization At Delivery cost?

$120

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $661 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 12 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$115$70.79 to $158
FacilityA hospital or hospital-owned outpatient department$661$123 to $776

How much rates vary

Facilitymedian $661 · 10th to 90th $123 to $1,122Professionalmedian $115 · 10th to 90th $59 to $195
$100.0$1.0K$10.0Kfacility $661professional $115

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
$123.03
Median
$199.53
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$123.03
Typical High
$229.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$123.03
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
$75.86
Median
$100.00
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$128.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$147.91
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$144.54
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$138.04
Independence Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$660.69
Typical High
$1,862.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$107.15
Typical High
$199.53
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$102.33
Typical High
$120.23
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$173.78
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$70.79
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$141.25

Where Pennsylvania sits

The same service costs 2.7 times more in Minnesota than in Mississippi. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $120 · 14th of 51
MN $178MS $66.07

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.