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 $323.59 / $1,445.44 / $3,715.35	Facility		$323.59	$1,445.44	$3,715.35
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Facility	52	$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $125.89 / $549.54	Professional		$64.57	$125.89	$549.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $112.20 / $199.53	Professional		$79.43	$112.20	$199.53
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,318.26 / $1,698.24 / $3,162.28	Facility		$1,318.26	$1,698.24	$3,162.28
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $141.25 / $158.49	Professional		$74.13	$141.25	$158.49
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $154.88 / $229.09	Professional		$114.82	$154.88	$229.09
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $134.90 / $229.09	Professional		$77.62	$134.90	$229.09
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $223.87	Professional		$213.80	$213.80	$223.87
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $158.49 / $229.09	Professional		$85.11	$158.49	$229.09
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $1,548.82 / $2,570.40	Facility		$549.54	$1,548.82	$2,570.40
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $794.33 / $794.33 / $794.33	Facility	52	$794.33	$794.33	$794.33
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $169.82 / $223.87	Professional		$117.49	$169.82	$223.87
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $933.25 / $1,659.59 / $3,890.45	Facility		$933.25	$1,659.59	$3,890.45
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $141.25 / $158.49	Professional		$74.13	$141.25	$158.49
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $1,513.56 / $4,265.80	Facility		$100.00	$1,513.56	$4,265.80
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $123.03 / $269.15	Professional		$64.57	$123.03	$269.15
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,122.02 / $1,148.15 / $5,495.41	Facility		$1,122.02	$1,148.15	$5,495.41
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $275.42	Professional		$144.54	$144.54	$275.42
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $138.04 / $363.08	Facility		$54.95	$138.04	$363.08
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $131.83 / $363.08	Professional		$54.95	$131.83	$363.08
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $1,584.89 / $3,890.45	Facility		$575.44	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $117.49 / $208.93	Professional		$66.07	$117.49	$208.93

Pennsylvania rates for HCPCS 10005