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 $93.33 / $1,445.44 / $5,370.32	Facility	$93.33	$1,445.44	$5,370.32
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $93.33 / $302.00	Professional	$37.15	$93.33	$302.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional	$35.48	$35.48	$35.48
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $1,905.46 / $6,025.60	Facility	$1,380.38	$1,905.46	$6,025.60
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Professional	$44.67	$44.67	$44.67
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,398.83 / $57,543.99	Facility	$2,344.23	$2,398.83	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $134.90 / $199.53	Professional	$83.18	$134.90	$199.53
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $102.33 / $190.55	Professional	$45.71	$102.33	$190.55
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $165.96	Professional	$158.49	$158.49	$165.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $114.82 / $186.21	Professional	$48.98	$114.82	$186.21
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $1,584.89 / $3,162.28	Facility	$660.69	$1,584.89	$3,162.28
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $95.50 / $134.90	Professional	$42.66	$95.50	$134.90
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $1,621.81 / $2,884.03	Facility	$954.99	$1,621.81	$2,884.03
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Professional	$44.67	$44.67	$44.67
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $1,148.15 / $5,370.32	Facility	$53.70	$1,148.15	$5,370.32
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $93.33 / $234.42	Professional	$38.02	$93.33	$234.42
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $169.82 / $239.88	Professional	$89.13	$169.82	$239.88
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $75.86 / $117.49	Facility	$41.69	$75.86	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $72.44 / $117.49	Professional	$25.12	$72.44	$117.49
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $1,584.89 / $3,890.45	Facility	$575.44	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $83.18 / $165.96	Professional	$38.90	$83.18	$165.96

Pennsylvania rates for HCPCS 19000