Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $354.81 / $436.52	Facility		$30.20	$354.81	$436.52
Aetna Facility/Professional Facility Modifier AA Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Facility	AA	$58.88	$58.88	$58.88
Aetna Facility/Professional Facility Modifier QK Typical Low / Median / Typical High $89.13 / $104.71 / $204.17	Facility	QK	$89.13	$104.71	$204.17
Aetna Facility/Professional Facility Modifier QX Typical Low / Median / Typical High $245.47 / $275.42 / $660.69	Facility	QX	$245.47	$275.42	$660.69
Aetna Facility/Professional Facility Modifier QY Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	QY	$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $144.54 / $616.60 / $1,023.29	Professional	AA	$144.54	$616.60	$1,023.29
Aetna Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $93.33 / $302.00 / $467.74	Professional	QX	$93.33	$302.00	$467.74
Aetna Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $208.93 / $295.12 / $512.86	Professional	QY	$208.93	$295.12	$512.86
Aetna Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $125.89 / $562.34 / $933.25	Professional	QZ	$125.89	$562.34	$933.25
Ambetter Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $29.51 / $29.51 / $125.89	Professional	AA	$29.51	$29.51	$125.89
Ambetter Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $69.18 / $81.28 / $158.49	Professional	QX	$69.18	$81.28	$158.49
Ambetter Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $69.18 / $69.18 / $69.18	Professional	QY	$69.18	$69.18	$69.18
Ambetter Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $120.23 / $147.91 / $186.21	Professional	QZ	$120.23	$147.91	$186.21
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Geisinger Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $117.49 / $263.03 / $389.05	Professional	AA	$117.49	$263.03	$389.05
Geisinger Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $117.49 / $263.03 / $389.05	Professional	QX	$117.49	$263.03	$389.05
Geisinger Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $117.49 / $263.03 / $389.05	Professional	QY	$117.49	$263.03	$389.05
Geisinger Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $117.49 / $263.03 / $389.05	Professional	QZ	$117.49	$263.03	$389.05
Highmark BCBS Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $316.23 / $416.87 / $602.56	Professional	AA	$316.23	$416.87	$602.56
Highmark BCBS Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $389.05 / $457.09 / $575.44	Professional	QX	$389.05	$457.09	$575.44
Highmark BCBS Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $380.19 / $446.68 / $549.54	Professional	QY	$380.19	$446.68	$549.54
Highmark BCBS Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $302.00 / $371.54 / $457.09	Professional	QZ	$302.00	$371.54	$457.09
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $323.59 / $416.87	Facility		$47.86	$323.59	$416.87
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,388.44 / $4,265.80 / $6,760.83	Facility		$3,388.44	$4,265.80	$6,760.83
United Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional	AA	$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $89.13 / $162.18 / $162.18	Professional	QX	$89.13	$162.18	$162.18
United Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Professional	QY	$134.90	$134.90	$134.90
United Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional	QZ	$79.43	$79.43	$79.43

Pennsylvania rates for HCPCS 00142