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 $54.95 / $131.83 / $501.19	Facility		$54.95	$131.83	$501.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $85.11 / $213.80	Professional		$53.70	$85.11	$213.80
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $120.23 / $151.36 / $426.58	Professional	50	$120.23	$151.36	$426.58
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $38.90 / $45.71	Professional		$38.90	$38.90	$45.71
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 $75.86 / $79.43 / $141.25	Professional		$75.86	$79.43	$141.25
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $114.82 / $120.23 / $208.93	Professional	50	$114.82	$120.23	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $89.13 / $151.36	Professional		$57.54	$89.13	$151.36
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $131.83 / $165.96	Professional		$95.50	$131.83	$165.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $95.50 / $147.91	Professional		$69.18	$95.50	$147.91
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $1,548.82	Facility		$131.83	$131.83	$1,548.82
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $87.10 / $144.54	Professional		$72.44	$87.10	$144.54
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $125.89 / $125.89 / $138.04	Professional	50	$125.89	$125.89	$138.04
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $79.43 / $107.15	Professional		$38.90	$79.43	$107.15
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $77.62 / $426.58	Facility		$54.95	$77.62	$426.58
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $79.43 / $151.36	Professional		$53.70	$79.43	$151.36
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $144.54 / $186.21	Professional		$107.15	$144.54	$186.21
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $70.79 / $91.20	Facility		$41.69	$70.79	$91.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $72.44 / $91.20	Professional		$51.29	$72.44	$91.20
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $707.95 / $3,890.45	Facility		$363.08	$707.95	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $79.43 / $134.90	Professional		$52.48	$79.43	$134.90

Pennsylvania rates for HCPCS 29425