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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $891.25 / $3,981.07 / $9,332.54	Facility		$891.25	$3,981.07	$9,332.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,148.15 / $4,073.80	Professional		$758.58	$1,148.15	$4,073.80
Aetna Facility/Professional Professional Modifier AS Typical Low / Median / Typical High $61.66 / $338.84 / $912.01	Professional	AS	$61.66	$338.84	$912.01
Ambetter Facility/Professional Professional Modifier AS Typical Low / Median / Typical High $234.42 / $234.42 / $234.42	Professional	AS	$234.42	$234.42	$234.42
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,715.35 / $5,011.87 / $40,738.03	Facility		$3,715.35	$5,011.87	$40,738.03
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,202.26	Professional		$1,148.15	$1,148.15	$1,202.26
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,071.52 / $1,737.80 / $2,137.96	Professional		$1,071.52	$1,737.80	$2,137.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,096.48 / $1,737.80	Professional		$758.58	$1,096.48	$1,737.80
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,737.80 / $1,905.46	Professional		$1,148.15	$1,737.80	$1,905.46
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,318.26 / $1,862.09	Professional		$1,000.00	$1,318.26	$1,862.09
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,677.35 / $8,128.31 / $16,595.87	Facility		$4,677.35	$8,128.31	$16,595.87
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $977.24 / $1,071.52 / $1,380.38	Professional		$977.24	$1,071.52	$1,380.38
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,090.30 / $4,466.84 / $19,952.62	Facility		$3,090.30	$4,466.84	$19,952.62
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $2,344.23 / $8,317.64	Facility		$831.76	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $1,047.13 / $1,995.26	Professional		$776.25	$1,047.13	$1,995.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,230.27 / $1,819.70 / $4,265.80	Professional		$1,230.27	$1,819.70	$4,265.80
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $870.96 / $1,047.13	Facility		$588.84	$870.96	$1,047.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $851.14 / $1,047.13	Professional		$588.84	$851.14	$1,047.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,187.76 / $4,897.79 / $11,481.54	Facility		$2,187.76	$4,897.79	$11,481.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,071.52 / $1,862.09	Professional		$758.58	$1,071.52	$1,862.09

Pennsylvania rates for HCPCS 14301