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 $691.83 / $2,951.21 / $8,128.31	Facility	$691.83	$2,951.21	$8,128.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $741.31 / $1,659.59	Professional	$549.54	$741.31	$1,659.59
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,412.54 / $1,412.54 / $1,412.54	Professional	$1,412.54	$1,412.54	$1,412.54
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $3,467.37 / $26,915.35	Facility	$2,511.89	$3,467.37	$26,915.35
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $346.74 / $616.60	Professional	$346.74	$346.74	$616.60
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,801.89 / $3,801.89 / $57,543.99	Facility	$3,801.89	$3,801.89	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,380.38 / $1,380.38 / $1,380.38	Professional	$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $776.25 / $1,230.27	Professional	$537.03	$776.25	$1,230.27
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $1,174.90 / $1,318.26	Professional	$776.25	$1,174.90	$1,318.26
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $891.25 / $1,288.25	Professional	$645.65	$891.25	$1,288.25
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $4,677.35 / $11,748.98	Facility	$2,344.23	$4,677.35	$11,748.98
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $724.44 / $812.83	Professional	$645.65	$724.44	$812.83
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,089.30 / $3,019.95 / $7,585.78	Facility	$2,089.30	$3,019.95	$7,585.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $346.74 / $691.83	Professional	$346.74	$346.74	$691.83
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $645.65 / $1,513.56 / $6,606.93	Facility	$645.65	$1,513.56	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $741.31 / $1,445.44	Professional	$549.54	$741.31	$1,445.44
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,951.21 / $9,772.37	Facility	$2,344.23	$2,951.21	$9,772.37
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $1,288.25 / $3,019.95	Professional	$776.25	$1,288.25	$3,019.95
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $602.56 / $741.31	Facility	$416.87	$602.56	$741.31
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $602.56 / $741.31	Professional	$416.87	$602.56	$741.31
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $912.01 / $2,951.21 / $6,606.93	Facility	$912.01	$2,951.21	$6,606.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $741.31 / $1,318.26	Professional	$524.81	$741.31	$1,318.26

Pennsylvania rates for HCPCS 14040