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 $446.68 / $5,370.32 / $10,715.19	Facility		$446.68	$5,370.32	$10,715.19
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,754.23 / $7,413.10 / $22,387.21	Facility	50	$2,754.23	$7,413.10	$22,387.21
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $389.05 / $933.25	Professional		$316.23	$389.05	$933.25
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $426.58 / $707.95 / $2,754.23	Professional	50	$426.58	$707.95	$2,754.23
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $12,589.25 / $12,589.25 / $12,589.25	Facility		$12,589.25	$12,589.25	$12,589.25
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $467.74 / $691.83	Professional		$281.84	$467.74	$691.83
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $426.58 / $691.83 / $1,023.29	Professional	50	$426.58	$691.83	$1,023.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $436.52 / $676.08	Professional		$302.00	$436.52	$676.08
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $426.58 / $467.74	Professional		$426.58	$426.58	$467.74
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $446.68 / $707.95	Professional		$302.00	$446.68	$707.95
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,412.54 / $14,791.08 / $25,703.96	Facility		$1,412.54	$14,791.08	$25,703.96
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $3,801.89 / $17,378.01 / $38,018.94	Facility	50	$3,801.89	$17,378.01	$38,018.94
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $12,589.25 / $12,589.25 / $12,589.25	Facility		$12,589.25	$12,589.25	$12,589.25
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $436.52 / $3,981.07 / $9,549.93	Facility		$436.52	$3,981.07	$9,549.93
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $10,000.00 / $17,378.01 / $37,153.52	Facility	50	$10,000.00	$17,378.01	$37,153.52
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $389.05 / $912.01	Professional		$316.23	$389.05	$912.01
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $575.44 / $851.14	Professional		$478.63	$575.44	$851.14
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $691.83 / $707.95	Facility		$316.23	$691.83	$707.95
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $691.83 / $691.83	Professional		$309.03	$691.83	$691.83
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $5,011.87 / $22,387.21	Facility		$2,137.96	$5,011.87	$22,387.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $398.11 / $676.08	Professional		$269.15	$398.11	$676.08

Pennsylvania rates for HCPCS 31255