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 $501.19 / $1,819.70 / $7,079.46	Facility		$501.19	$1,819.70	$7,079.46
Aetna Facility/Professional Facility Modifier 54 Typical Low / Median / Typical High $363.08 / $1,778.28 / $9,332.54	Facility	54	$363.08	$1,778.28	$9,332.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $660.69 / $1,621.81	Professional		$489.78	$660.69	$1,621.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,951.21 / $7,244.36 / $11,481.54	Facility		$2,951.21	$7,244.36	$11,481.54
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $537.03 / $588.84	Professional		$537.03	$537.03	$588.84
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $812.83 / $1,071.52	Professional		$549.54	$812.83	$1,071.52
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $645.65 / $1,047.13	Professional		$478.63	$645.65	$1,047.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,023.29 / $1,318.26	Professional		$758.58	$1,023.29	$1,318.26
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $758.58 / $1,174.90	Professional		$549.54	$758.58	$1,174.90
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $3,715.35 / $6,606.93	Facility		$1,380.38	$3,715.35	$6,606.93
Highmark BCBS Facility/Professional Facility Modifier 54 Typical Low / Median / Typical High $794.33 / $4,466.84 / $5,495.41	Facility	54	$794.33	$4,466.84	$5,495.41
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $575.44 / $660.69	Professional		$512.86	$575.44	$660.69
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $5,011.87 / $10,000.00	Facility		$1,737.80	$5,011.87	$10,000.00
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $537.03 / $588.84	Professional		$537.03	$537.03	$588.84
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $512.86 / $1,584.89 / $6,918.31	Facility		$512.86	$1,584.89	$6,918.31
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $676.08 / $1,202.26	Professional		$501.19	$676.08	$1,202.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $851.14 / $1,258.93	Professional		$645.65	$851.14	$1,258.93
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $512.86 / $602.56	Facility		$478.63	$512.86	$602.56
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $512.86 / $575.44	Professional		$478.63	$512.86	$575.44
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $2,570.40 / $5,370.32	Facility		$575.44	$2,570.40	$5,370.32
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $616.60 / $1,096.48	Professional		$457.09	$616.60	$1,096.48

Pennsylvania rates for HCPCS 25605