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 $204.17 / $1,737.80 / $8,317.64	Facility		$204.17	$1,737.80	$8,317.64
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $416.87 / $416.87 / $1,148.15	Facility	52	$416.87	$416.87	$1,148.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $208.93 / $616.60	Professional		$63.10	$208.93	$616.60
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $70.79 / $190.55 / $269.15	Professional	52	$70.79	$190.55	$269.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $288.40	Professional		$281.84	$281.84	$288.40
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $208.93 / $239.88	Professional		$177.83	$208.93	$239.88
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 $162.18 / $309.03 / $371.54	Professional		$162.18	$309.03	$371.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $181.97 / $316.23	Professional		$69.18	$181.97	$316.23
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $104.71 / $331.13	Professional		$91.20	$104.71	$331.13
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $213.80 / $338.84	Professional		$83.18	$213.80	$338.84
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $870.96 / $1,995.26	Facility		$467.74	$870.96	$1,995.26
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $251.19 / $269.15	Professional		$239.88	$251.19	$269.15
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $208.93 / $234.42	Professional		$177.83	$208.93	$234.42
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $1,659.59 / $6,606.93	Facility		$190.55	$1,659.59	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $177.83 / $436.52	Professional		$66.07	$177.83	$436.52
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $331.13 / $457.09	Professional		$141.25	$331.13	$457.09
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $186.21 / $309.03	Facility		$63.10	$186.21	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $186.21 / $309.03	Professional		$63.10	$186.21	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $602.56 / $3,890.45	Facility		$316.23	$602.56	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $131.83 / $295.12	Professional		$58.88	$131.83	$295.12

Pennsylvania rates for HCPCS 31231