go back

Coordinated Care Fee, Initial Rate

Pennsylvania rates for HCPCS G9001

Coordinated care fee, initial rate

Rates data updated July 2026.

How much does Coordinated Care Fee, Initial Rate cost?

$2.09

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2.09 for this service. Most negotiated rates run $2.09 to $2.09.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8,511 · 10th to 90th $5,012 to $77,625Professionalmedian $2 · 10th to 90th $1 to $25
$1.0$10.0$100.0$1.0K$10.0Kfacility $8,511professional $2

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.09
Typical High
$2.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
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
$53.70
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.68
Typical High
$0.68
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$25.12
Typical High
$27.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.09
Typical High
$2.09

Where Pennsylvania sits

The same service costs 602.6 times more in Alabama than in Oklahoma. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $2.09 · 25th of 51
AL $407OK $0.68

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.