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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $467.74 / $2,691.53	Facility	$117.49	$467.74	$2,691.53
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $114.82 / $346.74	Professional	$43.65	$114.82	$346.74
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $66.07 / $213.80	Professional	$37.15	$66.07	$213.80
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $1,659.59 / $2,511.89	Facility	$660.69	$1,659.59	$2,511.89
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $20.42 / $40.74	Professional	$20.42	$20.42	$40.74
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,258.93 / $57,543.99	Facility	$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional	$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $95.50 / $177.83	Professional	$44.67	$95.50	$177.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $177.83 / $194.98	Professional	$117.49	$177.83	$194.98
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $147.91 / $194.98	Professional	$100.00	$147.91	$194.98
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $457.09 / $630.96	Facility	$213.80	$457.09	$630.96
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $77.62 / $91.20	Professional	$63.10	$77.62	$91.20
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $1,380.38 / $2,511.89	Facility	$229.09	$1,380.38	$2,511.89
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $20.42 / $40.74	Professional	$20.42	$20.42	$40.74
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $537.03 / $5,370.32	Facility	$51.29	$537.03	$5,370.32
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $85.11 / $199.53	Professional	$39.81	$85.11	$199.53
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $467.74 / $1,047.13	Facility	$446.68	$467.74	$1,047.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $173.78 / $354.81	Professional	$154.88	$173.78	$354.81
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $91.20 / $141.25	Facility	$43.65	$91.20	$141.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $91.20 / $275.42	Professional	$42.66	$91.20	$275.42
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $616.60 / $3,890.45	Facility	$316.23	$616.60	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $89.13 / $173.78	Professional	$42.66	$89.13	$173.78

Pennsylvania rates for HCPCS 12001