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 $295.12 / $1,122.02 / $5,370.32	Facility	$295.12	$1,122.02	$5,370.32
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $288.40 / $724.44	Professional	$165.96	$288.40	$724.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $190.55 / $398.11	Professional	$144.54	$190.55	$398.11
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,019.95 / $13,182.57 / $20,892.96	Facility	$3,019.95	$13,182.57	$20,892.96
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $154.88	Professional	$147.91	$147.91	$154.88
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 $478.63 / $478.63 / $478.63	Professional	$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $302.00 / $489.78	Professional	$190.55	$302.00	$489.78
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $478.63 / $537.03	Professional	$316.23	$478.63	$537.03
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $346.74 / $512.86	Professional	$218.78	$346.74	$512.86
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $851.14 / $1,659.59	Facility	$416.87	$851.14	$1,659.59
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $295.12 / $354.81	Professional	$199.53	$295.12	$354.81
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $9,120.11 / $18,197.01	Facility	$549.54	$9,120.11	$18,197.01
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional	$147.91	$147.91	$147.91
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $251.19 / $912.01 / $5,623.41	Facility	$251.19	$912.01	$5,623.41
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $288.40 / $537.03	Professional	$177.83	$288.40	$537.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $512.86 / $1,174.90	Professional	$263.03	$512.86	$1,174.90
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $194.98 / $309.03	Facility	$70.79	$194.98	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $194.98 / $407.38	Professional	$70.79	$194.98	$407.38
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 $169.82 / $269.15 / $467.74	Professional	$169.82	$269.15	$467.74

Pennsylvania rates for HCPCS 12052