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 $346.74 / $1,737.80 / $7,244.36	Facility		$346.74	$1,737.80	$7,244.36
Aetna Facility/Professional Facility Modifier 54 Typical Low / Median / Typical High $691.83 / $691.83 / $691.83	Facility	54	$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $275.42 / $501.19	Professional		$199.53	$275.42	$501.19
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $263.03	Professional		$234.42	$234.42	$263.03
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $331.13 / $398.11	Professional		$234.42	$331.13	$398.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $263.03 / $446.68	Professional		$194.98	$263.03	$446.68
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $426.58 / $537.03	Professional		$309.03	$426.58	$537.03
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $316.23 / $436.52	Professional		$194.98	$316.23	$436.52
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $1,023.29 / $2,511.89	Facility		$257.04	$1,023.29	$2,511.89
Highmark BCBS Facility/Professional Facility Modifier 54 Typical Low / Median / Typical High $1,023.29 / $1,023.29 / $1,023.29	Facility	54	$1,023.29	$1,023.29	$1,023.29
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $245.47 / $295.12	Professional		$229.09	$245.47	$295.12
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $269.15	Professional		$234.42	$234.42	$269.15
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $1,412.54 / $6,165.95	Facility		$338.84	$1,412.54	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $269.15 / $501.19	Professional		$204.17	$269.15	$501.19
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $338.84 / $512.86	Professional		$257.04	$338.84	$512.86
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $223.87 / $309.03	Facility		$194.98	$223.87	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $229.09 / $309.03	Professional		$147.91	$229.09	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $676.08 / $3,890.45	Facility		$354.81	$676.08	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $245.47 / $446.68	Professional		$181.97	$245.47	$446.68

Pennsylvania rates for HCPCS 23500