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 $933.25 / $4,897.79 / $10,964.78	Facility	$933.25	$4,897.79	$10,964.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $630.96 / $1,819.70	Professional	$407.38	$630.96	$1,819.70
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $407.38 / $426.58	Professional	$407.38	$407.38	$426.58
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $3,467.37 / $23,988.33	Facility	$2,570.40	$3,467.37	$23,988.33
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $7,585.78 / $57,543.99	Facility	$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $616.60 / $831.76	Professional	$446.68	$616.60	$831.76
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $549.54 / $891.25	Professional	$380.19	$549.54	$891.25
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $691.83 / $891.25	Professional	$512.86	$691.83	$891.25
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $549.54 / $812.83	Professional	$426.58	$549.54	$812.83
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,290.87 / $6,760.83 / $12,589.25	Facility	$2,290.87	$6,760.83	$12,589.25
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $588.84 / $724.44	Professional	$467.74	$588.84	$724.44
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,290.87 / $3,162.28 / $7,585.78	Facility	$2,290.87	$3,162.28	$7,585.78
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $3,630.78 / $8,709.64	Facility	$616.60	$3,630.78	$8,709.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $562.34 / $1,122.02	Professional	$416.87	$562.34	$1,122.02
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $645.65 / $933.25	Professional	$537.03	$645.65	$933.25
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $446.68 / $891.25	Facility	$309.03	$446.68	$891.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $467.74 / $891.25	Professional	$426.58	$467.74	$891.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $3,981.07 / $9,332.54	Facility	$1,737.80	$3,981.07	$9,332.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $524.81 / $891.25	Professional	$380.19	$524.81	$891.25

Pennsylvania rates for HCPCS 21552