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 $660.69 / $2,691.53 / $8,317.64	Facility		$660.69	$2,691.53	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $691.83 / $691.83 / $691.83	Facility	50	$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $158.49 / $295.12	Professional		$97.72	$158.49	$295.12
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $72.44 / $263.03 / $263.03	Professional	50	$72.44	$263.03	$263.03
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,398.83 / $57,543.99	Facility		$2,344.23	$2,398.83	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $223.87 / $316.23	Professional		$158.49	$223.87	$316.23
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $239.88 / $331.13 / $478.63	Professional	50	$239.88	$331.13	$478.63
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $186.21 / $309.03	Professional		$109.65	$186.21	$309.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $323.59	Professional		$309.03	$309.03	$323.59
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $204.17 / $323.59	Professional		$104.71	$204.17	$323.59
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,995.26 / $7,244.36	Facility		$537.03	$1,995.26	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $169.82 / $295.12	Professional		$102.33	$169.82	$295.12
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $288.40 / $398.11	Professional		$147.91	$288.40	$398.11
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $107.15 / $309.03	Facility		$74.13	$107.15	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $107.15 / $309.03	Professional		$74.13	$107.15	$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 $91.20 / $158.49 / $281.84	Professional		$91.20	$158.49	$281.84

Pennsylvania rates for HCPCS 31000