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 $1,174.90 / $4,168.69 / $8,317.64	Facility	$1,174.90	$4,168.69	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,071.52 / $1,288.25 / $3,090.30	Professional	$1,071.52	$1,288.25	$3,090.30
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Professional	$645.65	$645.65	$645.65
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $6,165.95 / $57,543.99	Facility	$5,011.87	$6,165.95	$57,543.99
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,445.44 / $2,398.83	Professional	$1,000.00	$1,445.44	$2,398.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,778.28 / $1,995.26	Professional	$1,174.90	$1,778.28	$1,995.26
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,548.82 / $2,398.83	Professional	$1,096.48	$1,548.82	$2,398.83
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,128.31 / $8,128.31 / $10,000.00	Facility	$8,128.31	$8,128.31	$10,000.00
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $3,630.78 / $7,244.36	Facility	$954.99	$3,630.78	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,288.25 / $2,691.53	Professional	$1,096.48	$1,288.25	$2,691.53
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,479.11 / $2,344.23 / $5,495.41	Professional	$1,479.11	$2,344.23	$5,495.41
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $467.74 / $1,230.27	Facility	$467.74	$467.74	$1,230.27
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $467.74 / $1,258.93	Professional	$467.74	$467.74	$1,258.93
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,089.30 / $4,570.88 / $11,481.54	Facility	$2,089.30	$4,570.88	$11,481.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,071.52 / $1,445.44 / $2,511.89	Professional	$1,071.52	$1,445.44	$2,511.89

Pennsylvania rates for HCPCS 15738