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 $977.24 / $4,786.30 / $8,912.51	Facility	$977.24	$4,786.30	$8,912.51
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $691.83 / $2,089.30	Professional	$436.52	$691.83	$2,089.30
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $416.87 / $436.52	Professional	$416.87	$416.87	$436.52
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $18,620.87 / $18,620.87 / $18,620.87	Facility	$18,620.87	$18,620.87	$18,620.87
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $524.81 / $562.34	Professional	$501.19	$524.81	$562.34
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 $645.65 / $691.83 / $812.83	Professional	$645.65	$691.83	$812.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $575.44 / $933.25	Professional	$398.11	$575.44	$933.25
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $724.44 / $933.25	Professional	$537.03	$724.44	$933.25
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $575.44 / $851.14	Professional	$457.09	$575.44	$851.14
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,290.87 / $3,890.45 / $7,585.78	Facility	$2,290.87	$3,890.45	$7,585.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $562.34 / $812.83	Professional	$549.54	$562.34	$812.83
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $18,620.87 / $18,620.87 / $18,620.87	Facility	$18,620.87	$18,620.87	$18,620.87
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $524.81 / $562.34	Professional	$501.19	$524.81	$562.34
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $3,548.13 / $7,762.47	Facility	$616.60	$3,548.13	$7,762.47
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $575.44 / $1,096.48	Professional	$436.52	$575.44	$1,096.48
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $676.08 / $1,000.00	Professional	$446.68	$676.08	$1,000.00
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $512.86 / $676.08	Facility	$457.09	$512.86	$676.08
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $512.86 / $676.08	Professional	$457.09	$512.86	$676.08
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $3,467.37 / $5,888.44	Facility	$1,737.80	$3,467.37	$5,888.44
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $549.54 / $933.25	Professional	$398.11	$549.54	$933.25

Pennsylvania rates for HCPCS 21931