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 $181.97 / $1,348.96 / $5,754.40	Facility	$181.97	$1,348.96	$5,754.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $123.03 / $323.59	Professional	$64.57	$123.03	$323.59
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Professional	$141.25	$141.25	$141.25
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,479.11 / $3,630.78 / $5,754.40	Facility	$1,479.11	$3,630.78	$5,754.40
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
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $134.90 / $229.09	Professional	$72.44	$134.90	$229.09
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $257.04 / $281.84	Professional	$169.82	$257.04	$281.84
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $194.98 / $269.15	Professional	$141.25	$194.98	$269.15
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $691.83 / $912.01	Facility	$213.80	$691.83	$912.01
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $109.65 / $131.83	Professional	$70.79	$109.65	$131.83
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $3,162.28 / $5,011.87	Facility	$691.83	$3,162.28	$5,011.87
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $1,348.96 / $6,165.95	Facility	$117.49	$1,348.96	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $120.23 / $275.42	Professional	$64.57	$120.23	$275.42
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $218.78 / $512.86	Professional	$208.93	$218.78	$512.86
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.38 / $114.82 / $177.83	Facility	$17.38	$114.82	$177.83
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $114.82 / $131.83	Professional	$22.39	$114.82	$131.83
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 $69.18 / $128.82 / $234.42	Professional	$69.18	$128.82	$234.42

Pennsylvania rates for HCPCS 12004