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Therapy Infusion

Pennsylvania rates for HCPCS Q0081

Infusion therapy, using other than chemotherapeutic drugs, per visit

Rates data updated July 2026.

How much does Therapy Infusion cost?

$11.22

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $16.98 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 6 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$11.22$11.22 to $11.22
FacilityA hospital or hospital-owned outpatient department$16.98$11.22 to $229

How much rates vary

Facilitymedian $17 · 10th to 90th $11 to $363Professionalmedian $11 · 10th to 90th $11 to $20
$10.0$100.0$1.0K$10.0Kfacility $17professional $11

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
$11.22
Median
$11.22
Typical High
$16.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
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
$26.30
Median
$26.92
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$16.98
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$229.09
Typical High
$398.11
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$48.98

Where Pennsylvania sits

The same service costs 17.0 times more in Oklahoma than in New Jersey. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $11.22 · 27th of 51
OK $191NJ $11.22

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.