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 $363.08 / $3,235.94 / $8,709.64	Facility		$363.08	$3,235.94	$8,709.64
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $812.83 / $2,754.23 / $11,220.18	Facility	50	$812.83	$2,754.23	$11,220.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $162.18 / $398.11	Professional		$87.10	$162.18	$398.11
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $77.62 / $128.82 / $1,000.00	Professional	50	$77.62	$128.82	$1,000.00
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,715.35 / $5,011.87 / $11,220.18	Facility		$3,715.35	$5,011.87	$11,220.18
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $245.47 / $380.19	Professional		$158.49	$245.47	$380.19
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $208.93 / $363.08 / $575.44	Professional	50	$208.93	$363.08	$575.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $208.93 / $316.23	Professional		$158.49	$208.93	$316.23
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $234.42	Professional		$213.80	$213.80	$234.42
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $199.53 / $302.00	Professional		$147.91	$199.53	$302.00
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $1,621.81 / $5,888.44	Facility		$489.78	$1,621.81	$5,888.44
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $346.74 / $1,778.28 / $3,235.94	Facility	50	$346.74	$1,778.28	$3,235.94
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,090.30 / $4,466.84 / $10,964.78	Facility		$3,090.30	$4,466.84	$10,964.78
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $2,398.83 / $8,317.64	Facility		$234.42	$2,398.83	$8,317.64
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $776.25 / $776.25 / $5,623.41	Facility	50	$776.25	$776.25	$5,623.41
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $186.21 / $436.52	Professional		$147.91	$186.21	$436.52
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $239.88 / $346.74	Professional		$208.93	$239.88	$346.74
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $407.38 / $478.63	Facility		$154.88	$407.38	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $208.93 / $407.38	Professional		$120.23	$208.93	$407.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $3,630.78 / $6,025.60	Facility		$1,659.59	$3,630.78	$6,025.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $173.78 / $316.23	Professional		$128.82	$173.78	$316.23

Pennsylvania rates for HCPCS 31240