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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $891.25 / $5,370.32	Facility	$141.25	$891.25	$5,370.32
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $144.54 / $380.19	Professional	$67.61	$144.54	$380.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $114.82 / $234.42	Professional	$93.33	$114.82	$234.42
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $3,467.37 / $19,952.62	Facility	$2,511.89	$3,467.37	$19,952.62
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $72.44 / $134.90	Professional	$67.61	$72.44	$134.90
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,258.93 / $57,543.99	Facility	$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $213.80 / $251.19	Professional	$104.71	$213.80	$251.19
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $125.89 / $245.47	Professional	$74.13	$125.89	$245.47
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $218.78	Professional	$208.93	$208.93	$218.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $151.36 / $223.87	Professional	$83.18	$151.36	$223.87
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $524.81 / $891.25	Facility	$302.00	$524.81	$891.25
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $208.93	Professional	$83.18	$83.18	$208.93
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $3,019.95 / $9,549.93	Facility	$269.15	$3,019.95	$9,549.93
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $114.82 / $151.36	Professional	$67.61	$114.82	$151.36
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $1,047.13 / $6,165.95	Facility	$93.33	$1,047.13	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $128.82 / $281.84	Professional	$70.79	$128.82	$281.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $190.55 / $269.15	Professional	$151.36	$190.55	$269.15
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $114.82 / $128.82	Facility	$66.07	$114.82	$128.82
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $114.82 / $141.25	Professional	$64.57	$114.82	$141.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $602.56 / $3,890.45	Facility	$316.23	$602.56	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $107.15 / $190.55	Professional	$61.66	$107.15	$190.55

Pennsylvania rates for HCPCS 31575