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AmnioAmp-MP

Pennsylvania rates for HCPCS Q4250

AmnioAmp-MP, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does AmnioAmp-MP cost?

$2,951

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,951 for this service. The price depends on where it is billed: about $2,951 from a physician practice, and about $2,951 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 7 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$2,951$2,951 to $3,020
FacilityA hospital or hospital-owned outpatient department$2,951$1,995 to $3,020

How much rates vary

Facilitymedian $2,951 · 10th to 90th $214 to $3,020Professionalmedian $2,951 · 10th to 90th $126 to $3,162
$200$500$1K$2Kfacility $2,951professional $2,951

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
$2,951.21
Median
$2,951.21
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,162.28
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,344.23
Typical High
$2,951.21
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$446.68
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$2,398.83
Typical High
$2,818.38
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$223.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,019.95
Typical High
$3,019.95
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$125.89
Typical High
$2,398.83

Where Pennsylvania sits

The same service costs 20.9 times more in Montana than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 15th of 51

$2,951

MT $3,090MN $148

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.