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 $831.76 / $4,265.80 / $8,511.38	Facility		$831.76	$4,265.80	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,819.70 / $6,309.57 / $7,585.78	Facility	50	$1,819.70	$6,309.57	$7,585.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $1,659.59 / $2,344.23	Professional		$154.88	$1,659.59	$2,344.23
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $389.05 / $1,548.82 / $2,884.03	Professional	50	$389.05	$1,548.82	$2,884.03
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $2,691.53 / $4,073.80	Professional		$1,318.26	$2,691.53	$4,073.80
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $1,995.26 / $3,981.07 / $6,165.95	Professional	50	$1,995.26	$3,981.07	$6,165.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $316.23 / $3,019.95	Professional		$169.82	$316.23	$3,019.95
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,630.27 / $2,630.27 / $2,691.53	Professional		$2,630.27	$2,630.27	$2,691.53
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $2,089.30 / $3,235.94	Professional		$199.53	$2,089.30	$3,235.94
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $7,413.10 / $12,302.69 / $24,547.09	Facility	50	$7,413.10	$12,302.69	$24,547.09
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $3,630.78 / $7,244.36	Facility		$660.69	$3,630.78	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $1,548.82 / $2,511.89	Professional		$154.88	$1,548.82	$2,511.89
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $2,818.38 / $4,570.88	Professional		$275.42	$2,818.38	$4,570.88
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $281.84 / $1,949.84	Facility		$114.82	$281.84	$1,949.84
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $281.84 / $1,659.59	Professional		$114.82	$281.84	$1,659.59
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,187.76 / $5,011.87 / $22,387.21	Facility		$2,187.76	$5,011.87	$22,387.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $1,258.93 / $2,951.21	Professional		$147.91	$1,258.93	$2,951.21

Pennsylvania rates for HCPCS 31295