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 / $4,786.30 / $10,715.19	Facility		$831.76	$4,786.30	$10,715.19
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,778.28 / $3,630.78 / $32,359.37	Facility	50	$1,778.28	$3,630.78	$32,359.37
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $1,071.52 / $4,168.69	Professional		$177.83	$1,071.52	$4,168.69
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $912.01 / $1,412.54 / $5,888.44	Professional	50	$912.01	$1,412.54	$5,888.44
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 $1,348.96 / $2,691.53 / $4,786.30	Professional		$1,348.96	$2,691.53	$4,786.30
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $2,041.74 / $4,073.80 / $7,244.36	Professional	50	$2,041.74	$4,073.80	$7,244.36
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $363.08 / $4,466.84	Professional		$204.17	$363.08	$4,466.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,691.53 / $2,691.53 / $2,754.23	Professional		$2,691.53	$2,691.53	$2,754.23
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $2,290.87 / $4,466.84	Professional		$239.88	$2,290.87	$4,466.84
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $588.84 / $17,378.01	Facility		$457.09	$588.84	$17,378.01
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $3,981.07 / $15,488.17 / $33,113.11	Facility	50	$3,981.07	$15,488.17	$33,113.11
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $3,630.78 / $8,317.64	Facility		$537.03	$3,630.78	$8,317.64
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $28,183.83 / $28,183.83 / $32,359.37	Facility	50	$28,183.83	$28,183.83	$32,359.37
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $1,548.82 / $3,890.45	Professional		$177.83	$1,548.82	$3,890.45
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $2,884.03 / $4,677.35	Professional		$691.83	$2,884.03	$4,677.35
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $371.54 / $3,548.13	Facility		$173.78	$371.54	$3,548.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $371.54 / $1,778.28	Professional		$173.78	$371.54	$1,778.28
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 $165.96 / $1,288.25 / $4,265.80	Professional		$165.96	$1,288.25	$4,265.80

Pennsylvania rates for HCPCS 31296