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 $263.03 / $1,000.00 / $5,754.40	Facility	$263.03	$1,000.00	$5,754.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $288.40 / $794.33	Professional	$151.36	$288.40	$794.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $398.11 / $524.81	Professional	$269.15	$398.11	$524.81
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $9,332.54 / $9,332.54 / $9,332.54	Facility	$9,332.54	$9,332.54	$9,332.54
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $141.25	Professional	$131.83	$131.83	$141.25
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 $302.00 / $436.52 / $436.52	Professional	$302.00	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $269.15 / $436.52	Professional	$165.96	$269.15	$436.52
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $436.52 / $478.63	Professional	$288.40	$436.52	$478.63
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $316.23 / $457.09	Professional	$199.53	$316.23	$457.09
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $707.95 / $1,445.44	Facility	$316.23	$707.95	$1,445.44
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $269.15 / $309.03	Professional	$218.78	$269.15	$309.03
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $9,332.54 / $9,332.54 / $9,332.54	Facility	$9,332.54	$9,332.54	$9,332.54
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $141.25	Professional	$131.83	$131.83	$141.25
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $1,202.26 / $5,754.40	Facility	$245.47	$1,202.26	$5,754.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $251.19 / $478.63	Professional	$151.36	$251.19	$478.63
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $436.52 / $1,023.29	Professional	$245.47	$436.52	$1,023.29
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $165.96 / $309.03	Facility	$70.79	$165.96	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $165.96 / $295.12	Professional	$70.79	$165.96	$295.12
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $977.24 / $3,890.45	Facility	$363.08	$977.24	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $239.88 / $407.38	Professional	$144.54	$239.88	$407.38

Pennsylvania rates for HCPCS 12051