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 $257.04 / $2,089.30 / $7,762.47	Facility		$257.04	$2,089.30	$7,762.47
Aetna Facility/Professional Facility Modifier 54 Typical Low / Median / Typical High $851.14 / $851.14 / $954.99	Facility	54	$851.14	$851.14	$954.99
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $281.84 / $512.86	Professional		$190.55	$281.84	$512.86
Aetna Facility/Professional Professional Modifier 54 Typical Low / Median / Typical High $229.09 / $281.84 / $426.58	Professional	54	$229.09	$281.84	$426.58
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $229.09 / $229.09	Professional		$186.21	$229.09	$229.09
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 $288.40 / $316.23 / $331.13	Professional		$288.40	$316.23	$331.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $251.19 / $416.87	Professional		$181.97	$251.19	$416.87
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $389.05 / $489.78	Professional		$281.84	$389.05	$489.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $257.04 / $389.05	Professional		$186.21	$257.04	$389.05
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $380.19 / $630.96 / $1,148.15	Facility		$380.19	$630.96	$1,148.15
Highmark BCBS Facility/Professional Facility Modifier 54 Typical Low / Median / Typical High $812.83 / $812.83 / $831.76	Facility	54	$812.83	$812.83	$831.76
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $234.42 / $288.40	Professional		$218.78	$234.42	$288.40
Highmark BCBS Facility/Professional Professional Modifier 54 Typical Low / Median / Typical High $151.36 / $151.36 / $181.97	Professional	54	$151.36	$151.36	$181.97
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $229.09	Professional		$186.21	$186.21	$229.09
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $1,819.70 / $7,244.36	Facility		$257.04	$1,819.70	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $245.47 / $467.74	Professional		$190.55	$245.47	$467.74
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $354.81 / $501.19	Professional		$288.40	$354.81	$501.19
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $213.80 / $269.15	Facility		$74.13	$213.80	$269.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $208.93 / $269.15	Professional		$74.13	$208.93	$269.15
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 $169.82 / $239.88 / $426.58	Professional		$169.82	$239.88	$426.58

Pennsylvania rates for HCPCS 28470