Pennsylvania
Highmark BCBS Pennsylvania fee schedule 2026, by CPT code.
Highmark Blue Cross Blue Shield (PA) publishes the rate it negotiated with each practice it contracts with, by NPI. Enter yours and we read Highmark BCBS Pennsylvania’s files for your rates.
What you’ll get
| Code | Visit | Your Highmark BCBS Pennsylvania rate | Source file |
|---|---|---|---|
| Filled in from Highmark BCBS Pennsylvania’s own file when you enter your NPI. | |||
Highmark BCBS Pennsylvania publishes 161 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 BCBS Pennsylvania’s files
What Highmark BCBS Pennsylvania publishes.
Published by Highmark BCBS Pennsylvania under the federal Transparency in Coverage rule.
What you get
The number, and everything behind it.
The exact dollar Highmark BCBS 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 BCBS 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 BCBS 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 BCBS Pennsylvania paying you what it published?
Upload your allowed amounts by code and see which ones Highmark BCBS Pennsylvania allowed below the rate it published for you, the claims affected and the dollar gap. Totals only, no patient data. →
Fee scheduleHighmark BCBS 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 BCBS 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 BCBS Pennsylvania’s rates or your contract? Ask us →