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 $645.65 / $3,981.07 / $8,511.38	Facility	$645.65	$3,981.07	$8,511.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $181.97 / $457.09	Professional	$125.89	$181.97	$457.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $213.80	Professional	$43.65	$43.65	$213.80
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $6,165.95 / $57,543.99	Facility	$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $208.93	Professional	$141.25	$141.25	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $218.78 / $371.54	Professional	$131.83	$218.78	$371.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $199.53 / $257.04	Professional	$147.91	$199.53	$257.04
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $186.21 / $302.00	Professional	$128.82	$186.21	$302.00
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,122.02 / $3,890.45 / $13,182.57	Facility	$1,122.02	$3,890.45	$13,182.57
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $154.88 / $239.88	Professional	$141.25	$154.88	$239.88
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $645.65 / $2,570.40 / $8,317.64	Facility	$645.65	$2,570.40	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $186.21 / $407.38	Professional	$131.83	$186.21	$407.38
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $338.84 / $457.09	Professional	$218.78	$338.84	$457.09
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $275.42 / $407.38	Facility	$138.04	$275.42	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $275.42 / $407.38	Professional	$131.83	$275.42	$407.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $3,981.07 / $9,332.54	Facility	$1,659.59	$3,981.07	$9,332.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $190.55 / $316.23	Professional	$120.23	$190.55	$316.23

Pennsylvania rates for HCPCS 20240