All PlansReimbursementHigh impact
Standard Professional Fee Schedules: Q3 Updates Now Available
Highmark·PA, NY, WV, DE·Provider Bulletin
We identified it
Aug 20, 2026
Summary
Highmark has released Q3 2026 updates to standard professional fee schedules across all markets. These updated fee schedules are now available in the Provider Resource Center (PRC) accessible through Availity Essentials. Billing teams must access and review the new fee schedules to ensure accurate reimbursement rates are applied to claims.
Action Required
Immediately: Billing team must access the updated Q3 2026 professional fee schedules through Highmark's Provider Resource Center (PRC) via Availity Essentials. Navigate to: Highmark Payer Spaces > Provider Resource Center (PRC) > Applications > Claims > Reimbursement Resources > Fee Schedule Information. Download and review fee schedules for all applicable Highmark regions (CPA/SEPA, DE, NENY, WNY, WPA/NEPA, WV). Cross-reference current billing system rates against updated schedules and implement changes in billing software before submitting claims. Verify that all CPT codes and reimbursement amounts reflect the new Q3 2026 rates. Failure to update rates may result in claim denials or overpayment recoveries if using outdated fee schedules.