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 $776.25 / $2,570.40 / $8,317.64	Facility		$776.25	$2,570.40	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $616.60 / $3,235.94 / $9,120.11	Facility	50	$616.60	$3,235.94	$9,120.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $524.81 / $1,584.89	Professional		$416.87	$524.81	$1,584.89
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $794.33 / $954.99	Professional		$537.03	$794.33	$954.99
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $616.60 / $1,047.13	Professional		$218.78	$616.60	$1,047.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $831.76 / $891.25	Professional		$831.76	$831.76	$891.25
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 $446.68 / $691.83 / $954.99	Professional		$446.68	$691.83	$954.99
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,230.27 / $2,089.30 / $17,782.79	Facility		$1,230.27	$2,089.30	$17,782.79
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $7,585.78 / $7,585.78 / $20,892.96	Facility	50	$7,585.78	$7,585.78	$20,892.96
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $1,778.28 / $7,244.36	Facility		$616.60	$1,778.28	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $575.44 / $1,348.96	Professional		$446.68	$575.44	$1,348.96
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $776.25 / $1,071.52	Professional		$501.19	$776.25	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $537.03	Facility		$309.03	$309.03	$537.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $416.87 / $549.54	Professional		$309.03	$416.87	$549.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $5,011.87 / $12,589.25	Facility		$2,137.96	$5,011.87	$12,589.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $537.03 / $1,000.00	Professional		$380.19	$537.03	$1,000.00

Pennsylvania rates for HCPCS 19328