Pennsylvania
Highmark Blue Shield Pennsylvania fee schedule 2026, by CPT code.
Highmark Blue Shield Pennsylvania publishes the rate it negotiated with each practice it contracts with, by NPI. Enter yours and we read Highmark Blue Shield Pennsylvania’s files for your rates.
What you’ll get
| Code | Visit | Your Highmark Blue Shield Pennsylvania rate | Source file |
|---|---|---|---|
| Filled in from Highmark Blue Shield Pennsylvania’s own file when you enter your NPI. | |||
Highmark Blue Shield Pennsylvania publishes 154 in-network rate files. We read them for the rate listed for your practice, code by code.
Need the codes you bill, across your payers? Start a fee schedule from $99/month.
Inside Highmark Blue Shield Pennsylvania’s files
What Highmark Blue Shield Pennsylvania publishes.
Published by Highmark Blue Shield Pennsylvania under the federal Transparency in Coverage rule.
What you get
The number, and everything behind it.
The exact dollar Highmark Blue Shield Pennsylvania negotiated for a CPT code and your NPI — the genuinely negotiated figure, chosen by a fixed rule, not the “derived” line beside it.
Which Highmark Blue Shield Pennsylvania network the rate sits in (an HMO and a PPO product can pay differently), and that it’s the in-office professional rate.
The source file and its “as of” month, linked — so the number survives being questioned by a contracting manager.
On a paid plan, Highmark Blue Shield Pennsylvania becomes one column of a sheet next to every other payer you take, with underpayment checks and change alerts.
After the rate
Is Highmark Blue Shield Pennsylvania paying you what it published?
Upload your allowed amounts by code and see which ones Highmark Blue Shield Pennsylvania allowed below the rate it published for you, the claims affected and the dollar gap. Totals only, no patient data. →
Fee scheduleHighmark Blue Shield Pennsylvania next to every other payer you take, code by code, in one sheet, with the source behind every number and an alert when a rate changes. →
Also in Pennsylvania
The other payers we read here.
Your state
All the payers we read in Pennsylvania.
Why Highmark Blue Shield Pennsylvania has its own fee schedule, and what BlueCard means for out-of-state Blue patients: there is no single Blue Cross Blue Shield fee schedule →
Questions about Highmark Blue Shield Pennsylvania’s rates or your contract? Ask us →