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 $1,479.11 / $5,370.32 / $9,549.93	Facility	$1,479.11	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,288.25 / $1,513.56 / $4,677.35	Professional	$1,288.25	$1,513.56	$4,677.35
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $20,417.38 / $21,379.62 / $57,543.99	Facility	$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,041.74 / $2,041.74 / $2,187.76	Professional	$2,041.74	$2,041.74	$2,187.76
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,698.24 / $2,884.03	Professional	$1,174.90	$1,698.24	$2,884.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,548.82 / $2,089.30 / $2,630.27	Professional	$1,548.82	$2,089.30	$2,630.27
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,288.25 / $1,698.24 / $2,454.71	Professional	$1,288.25	$1,698.24	$2,454.71
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,187.76 / $20,892.96 / $50,118.72	Facility	$2,187.76	$20,892.96	$50,118.72
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $4,168.69 / $8,511.38	Facility	$1,023.29	$4,168.69	$8,511.38
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,288.25 / $1,513.56 / $4,168.69	Professional	$1,288.25	$1,513.56	$4,168.69
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,548.82 / $2,137.96 / $3,162.28	Professional	$1,548.82	$2,137.96	$3,162.28
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $741.31 / $1,479.11 / $1,819.70	Facility	$741.31	$1,479.11	$1,819.70
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,380.38 / $1,479.11 / $1,819.70	Professional	$1,380.38	$1,479.11	$1,819.70
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $5,754.40 / $19,054.61	Facility	$2,344.23	$5,754.40	$19,054.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,621.81 / $2,818.38	Professional	$1,174.90	$1,621.81	$2,818.38

Pennsylvania rates for HCPCS 21196