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 Professional Modifier AA Typical Low / Median / Typical High $457.09 / $933.25 / $2,238.72	Professional	AA	$457.09	$933.25	$2,238.72
Aetna Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $363.08 / $512.86 / $812.83	Professional	QX	$363.08	$512.86	$812.83
Aetna Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $501.19 / $562.34 / $851.14	Professional	QY	$501.19	$562.34	$851.14
Aetna Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $3,019.95	Professional	QZ	$1,000.00	$1,000.00	$3,019.95
Ambetter Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $512.86 / $512.86 / $512.86	Professional	AA	$512.86	$512.86	$512.86
Ambetter Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $117.49 / $117.49 / $223.87	Professional	QX	$117.49	$117.49	$223.87
Geisinger Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $138.04 / $316.23 / $467.74	Professional	AA	$138.04	$316.23	$467.74
Geisinger Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $138.04 / $316.23 / $467.74	Professional	QX	$138.04	$316.23	$467.74
Geisinger Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $138.04 / $316.23 / $467.74	Professional	QY	$138.04	$316.23	$467.74
Geisinger Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $138.04 / $316.23 / $467.74	Professional	QZ	$138.04	$316.23	$467.74
Highmark BCBS Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $512.86 / $1,071.52 / $1,584.89	Professional	AA	$512.86	$1,071.52	$1,584.89
Highmark BCBS Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $489.78 / $741.31 / $1,348.96	Professional	QX	$489.78	$741.31	$1,348.96
Highmark BCBS Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $588.84 / $851.14 / $954.99	Professional	QY	$588.84	$851.14	$954.99
Highmark BCBS Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $489.78 / $489.78 / $741.31	Professional	QZ	$489.78	$489.78	$741.31

Pennsylvania rates for HCPCS 01916