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 $269.15 / $3,715.35 / $8,511.38	Facility		$269.15	$3,715.35	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $891.25 / $6,309.57 / $18,620.87	Facility	50	$891.25	$6,309.57	$18,620.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $309.03 / $741.31	Professional		$165.96	$309.03	$741.31
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $245.47 / $501.19 / $1,148.15	Professional	50	$245.47	$501.19	$1,148.15
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $309.03 / $467.74	Professional		$223.87	$309.03	$467.74
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $331.13 / $467.74 / $691.83	Professional	50	$331.13	$467.74	$691.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $281.84 / $467.74	Professional		$181.97	$281.84	$467.74
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $426.58 / $446.68	Professional		$426.58	$426.58	$446.68
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $346.74 / $549.54	Professional		$223.87	$346.74	$549.54
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,412.54 / $4,073.80 / $7,079.46	Facility		$1,412.54	$4,073.80	$7,079.46
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,513.56 / $6,309.57 / $16,595.87	Facility	50	$1,513.56	$6,309.57	$16,595.87
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $251.19 / $2,398.83 / $8,317.64	Facility		$251.19	$2,398.83	$8,317.64
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $21,379.62 / $21,379.62 / $21,379.62	Facility	50	$21,379.62	$21,379.62	$21,379.62
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $281.84 / $588.84	Professional		$165.96	$281.84	$588.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $446.68 / $549.54	Professional		$338.84	$446.68	$549.54
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $309.03 / $309.03	Facility		$162.18	$309.03	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $309.03 / $588.84	Professional		$162.18	$309.03	$588.84
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $2,951.21 / $6,025.60	Facility		$1,000.00	$2,951.21	$6,025.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $245.47 / $446.68	Professional		$154.88	$245.47	$446.68

Pennsylvania rates for HCPCS 31238