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 $562.34 / $5,248.07 / $8,709.64	Facility		$562.34	$5,248.07	$8,709.64
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $3,162.28 / $8,317.64 / $11,748.98	Facility	50	$3,162.28	$8,317.64	$11,748.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $588.84 / $1,380.38	Professional		$467.74	$588.84	$1,380.38
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $691.83 / $1,202.26 / $3,162.28	Professional	50	$691.83	$1,202.26	$3,162.28
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $630.96 / $1,258.93	Professional		$630.96	$630.96	$1,258.93
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $691.83 / $691.83 / $758.58	Professional	50	$691.83	$691.83	$758.58
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,951.21 / $4,073.80 / $33,113.11	Facility		$2,951.21	$4,073.80	$33,113.11
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $933.25 / $1,096.48	Professional		$602.56	$933.25	$1,096.48
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $912.01 / $1,380.38 / $1,621.81	Professional	50	$912.01	$1,380.38	$1,621.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $645.65 / $1,071.52	Professional		$478.63	$645.65	$1,071.52
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $977.24 / $1,071.52	Professional		$645.65	$977.24	$1,071.52
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $776.25 / $1,047.13	Professional		$562.34	$776.25	$1,047.13
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $3,311.31 / $8,128.31	Facility		$2,511.89	$3,311.31	$8,128.31
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $3,715.35 / $5,888.44 / $10,715.19	Facility	50	$3,715.35	$5,888.44	$10,715.19
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $912.01 / $912.01 / $912.01	Professional	50	$912.01	$912.01	$912.01
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $3,548.13 / $9,120.11	Facility		$2,344.23	$3,548.13	$9,120.11
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $562.34 / $3,801.89 / $8,317.64	Facility		$562.34	$3,801.89	$8,317.64
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,511.89 / $6,918.31 / $14,454.40	Facility	50	$2,511.89	$6,918.31	$14,454.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $602.56 / $1,258.93	Professional		$467.74	$602.56	$1,258.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $1,023.29 / $2,398.83	Professional		$776.25	$1,023.29	$2,398.83
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $602.56 / $933.25	Facility		$537.03	$602.56	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $588.84 / $933.25	Professional		$467.74	$588.84	$933.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $3,162.28 / $6,606.93	Facility		$1,000.00	$3,162.28	$6,606.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $630.96 / $1,122.02	Professional		$457.09	$630.96	$1,122.02

Pennsylvania rates for HCPCS 15823