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 $331.13 / $1,862.09 / $5,128.61	Facility	$331.13	$1,862.09	$5,128.61
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $213.80 / $1,096.48	Professional	$74.13	$213.80	$1,096.48
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $141.25	Professional	$128.82	$128.82	$141.25
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $3,467.37 / $9,549.93	Facility	$2,570.40	$3,467.37	$9,549.93
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $87.10	Professional	$43.65	$43.65	$87.10
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,258.93 / $57,543.99	Facility	$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $602.56 / $912.01	Professional	$302.00	$602.56	$912.01
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $251.19 / $724.44	Professional	$91.20	$251.19	$724.44
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $575.44 / $602.56	Professional	$575.44	$575.44	$602.56
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $467.74 / $630.96	Professional	$102.33	$467.74	$630.96
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $1,513.56 / $2,398.83	Facility	$575.44	$1,513.56	$2,398.83
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $95.50 / $398.11	Professional	$91.20	$95.50	$398.11
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $3,019.95 / $9,120.11	Facility	$2,137.96	$3,019.95	$9,120.11
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $87.10 / $87.10	Professional	$43.65	$87.10	$87.10
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $1,479.11 / $5,370.32	Facility	$114.82	$1,479.11	$5,370.32
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $331.13 / $870.96	Professional	$75.86	$331.13	$870.96
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $630.96 / $1,584.89	Professional	$512.86	$630.96	$1,584.89
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $251.19 / $354.81	Facility	$83.18	$251.19	$354.81
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $251.19 / $389.05	Professional	$83.18	$251.19	$389.05
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 $79.43 / $223.87 / $707.95	Professional	$79.43	$223.87	$707.95

Pennsylvania rates for HCPCS 19285