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 $162.18 / $416.87 / $870.96	Facility		$162.18	$416.87	$870.96
Aetna Facility/Professional Facility Modifier QK Typical Low / Median / Typical High $154.88 / $208.93 / $229.09	Facility	QK	$154.88	$208.93	$229.09
Aetna Facility/Professional Facility Modifier QX Typical Low / Median / Typical High $275.42 / $588.84 / $676.08	Facility	QX	$275.42	$588.84	$676.08
Aetna Facility/Professional Facility Modifier QY Typical Low / Median / Typical High $81.28 / $100.00 / $186.21	Facility	QY	$81.28	$100.00	$186.21
Aetna Facility/Professional Facility Modifier QZ Typical Low / Median / Typical High $977.24 / $977.24 / $977.24	Facility	QZ	$977.24	$977.24	$977.24
Aetna Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $426.58 / $758.58 / $1,071.52	Professional	AA	$426.58	$758.58	$1,071.52
Aetna Facility/Professional Professional Modifier QK Typical Low / Median / Typical High $114.82 / $288.40 / $457.09	Professional	QK	$114.82	$288.40	$457.09
Aetna Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $123.03 / $281.84 / $467.74	Professional	QX	$123.03	$281.84	$467.74
Aetna Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $97.72 / $269.15 / $457.09	Professional	QY	$97.72	$269.15	$457.09
Aetna Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $389.05 / $537.03 / $691.83	Professional	QZ	$389.05	$537.03	$691.83
Ambetter Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $104.71 / $120.23 / $181.97	Professional	AA	$104.71	$120.23	$181.97
Ambetter Facility/Professional Professional Modifier QK Typical Low / Median / Typical High $60.26 / $117.49 / $120.23	Professional	QK	$60.26	$117.49	$120.23
Ambetter Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $58.88 / $117.49 / $138.04	Professional	QX	$58.88	$117.49	$138.04
Ambetter Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Professional	QY	$97.72	$97.72	$97.72
Ambetter Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $85.11 / $102.33 / $239.88	Professional	QZ	$85.11	$102.33	$239.88
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,288.25 / $2,570.40 / $3,311.31	Facility		$1,288.25	$2,570.40	$3,311.31
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Geisinger Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $93.33 / $213.80 / $309.03	Professional	AA	$93.33	$213.80	$309.03
Geisinger Facility/Professional Professional Modifier QK Typical Low / Median / Typical High $93.33 / $213.80 / $309.03	Professional	QK	$93.33	$213.80	$309.03
Geisinger Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $93.33 / $213.80 / $309.03	Professional	QX	$93.33	$213.80	$309.03
Geisinger Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $93.33 / $213.80 / $309.03	Professional	QY	$93.33	$213.80	$309.03
Geisinger Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $93.33 / $213.80 / $309.03	Professional	QZ	$93.33	$213.80	$309.03
Highmark BCBS Facility/Professional Facility Modifier QZ Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Facility	QZ	$61.66	$61.66	$61.66
Highmark BCBS Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $288.40 / $346.74 / $501.19	Professional	AA	$288.40	$346.74	$501.19
Highmark BCBS Facility/Professional Professional Modifier QK Typical Low / Median / Typical High $295.12 / $380.19 / $478.63	Professional	QK	$295.12	$380.19	$478.63
Highmark BCBS Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $288.40 / $371.54 / $467.74	Professional	QX	$288.40	$371.54	$467.74
Highmark BCBS Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $302.00 / $389.05 / $512.86	Professional	QY	$302.00	$389.05	$512.86
Highmark BCBS Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $234.42 / $309.03 / $389.05	Professional	QZ	$234.42	$309.03	$389.05
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,288.25 / $2,570.40 / $3,311.31	Facility		$1,288.25	$2,570.40	$3,311.31
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
Martin's Point Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $186.21 / $190.55 / $257.04	Professional	QZ	$186.21	$190.55	$257.04
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,348.96 / $1,513.56 / $1,905.46	Facility		$1,348.96	$1,513.56	$1,905.46
United Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $81.28 / $81.28 / $354.81	Professional	AA	$81.28	$81.28	$354.81
United Facility/Professional Professional Modifier QK Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional	QK	$162.18	$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 $54.95 / $275.42 / $338.84	Professional	QZ	$54.95	$275.42	$338.84

Pennsylvania rates for HCPCS 00812