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 $851.14 / $5,370.32 / $12,589.25	Facility		$851.14	$5,370.32	$12,589.25
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,995.26 / $10,964.78 / $19,952.62	Facility	50	$1,995.26	$10,964.78	$19,952.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $575.44 / $1,584.89	Professional		$398.11	$575.44	$1,584.89
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $707.95 / $870.96	Professional		$707.95	$707.95	$870.96
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,019.95 / $4,570.88 / $48,977.88	Facility		$3,019.95	$4,570.88	$48,977.88
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $489.78 / $691.83	Professional		$489.78	$489.78	$691.83
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 $575.44 / $812.83 / $1,000.00	Professional		$575.44	$812.83	$1,000.00
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $588.84 / $977.24	Professional		$389.05	$588.84	$977.24
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $1,023.29 / $1,096.48	Professional		$1,023.29	$1,023.29	$1,096.48
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $741.31 / $1,071.52	Professional		$416.87	$741.31	$1,071.52
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,884.03 / $8,912.51 / $15,135.61	Facility		$2,884.03	$8,912.51	$15,135.61
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $6,025.60 / $9,120.11 / $13,489.63	Facility	50	$6,025.60	$9,120.11	$13,489.63
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $575.44 / $794.33	Professional		$436.52	$575.44	$794.33
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,691.53 / $3,801.89 / $15,488.17	Facility		$2,691.53	$3,801.89	$15,488.17
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $489.78 / $691.83	Professional		$489.78	$489.78	$691.83
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $2,951.21 / $10,000.00	Facility		$537.03	$2,951.21	$10,000.00
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $19,952.62 / $19,952.62 / $19,952.62	Facility	50	$19,952.62	$19,952.62	$19,952.62
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $588.84 / $1,202.26	Professional		$407.38	$588.84	$1,202.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $954.99 / $1,258.93	Professional		$524.81	$954.99	$1,258.93
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $478.63 / $562.34	Facility		$457.09	$478.63	$562.34
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $478.63 / $562.34	Professional		$436.52	$478.63	$562.34
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $3,981.07 / $12,589.25	Facility		$1,659.59	$3,981.07	$12,589.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $549.54 / $1,000.00	Professional		$371.54	$549.54	$1,000.00

Pennsylvania rates for HCPCS 19125