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High Osmolar Contrast Material, Iodine 400 mg/mL or Greater

Pennsylvania rates for HCPCS Q9964

High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml

Rates data updated July 2026.

How much does High Osmolar Contrast Material, Iodine 400 mg/mL or Greater cost?

$0.33per mL

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $0.33 for each mL of this drug. The price depends on where it is billed: about $0.33 from a physician practice, and about $0.65 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mL. Enter the amount given to see what insurers have agreed to pay for it.

mL
In a doctor's office or clinic
$0.33
At a hospital outpatient department
$0.65

The same drug, in the same amount, costs 95% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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 9 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$0.33$0.33 to $0.33
FacilityA hospital or hospital-owned outpatient department$0.65$0.33 to $1.07

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $39Professionalmedian $0 · 10th to 90th $0 to $1
$1$10$100$1K$10Kfacility $1professional $0

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
$0.33
Median
$0.33
Typical High
$0.85
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.32
Median
$0.33
Typical High
$0.33
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$0.55
Median
$0.65
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.28
Median
$1.02
Typical High
$1.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.28
Typical High
$0.28
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$38,018.94
Median
$38,018.94
Typical High
$38,018.94
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$0.19
Median
$0.19
Typical High
$0.28
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$0.33
Median
$0.33
Typical High
$0.85
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$0.32
Median
$0.33
Typical High
$0.51
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$0.32
Median
$0.36
Typical High
$0.43
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$34.67
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$0.39
Median
$0.51
Typical High
$38,018.94

Where Pennsylvania sits

The same service costs 158.5 times more in New York than in Maine. 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· 41st of 51

$0.33

NY $44.67ME $0.28

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.