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 $512.86 / $3,090.30 / $8,511.38	Facility		$512.86	$3,090.30	$8,511.38
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $3,801.89 / $3,801.89 / $3,801.89	Facility	52	$3,801.89	$3,801.89	$3,801.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $416.87 / $2,344.23	Professional		$190.55	$416.87	$2,344.23
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $3,467.37 / $44,668.36	Facility		$2,570.40	$3,467.37	$44,668.36
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
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 $1,000.00 / $1,348.96 / $1,949.84	Professional		$1,000.00	$1,348.96	$1,949.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $436.52 / $1,737.80	Professional		$239.88	$436.52	$1,737.80
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,238.72 / $2,238.72 / $2,344.23	Professional		$2,238.72	$2,238.72	$2,344.23
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $1,412.54 / $2,187.76	Professional		$269.15	$1,412.54	$2,187.76
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $8,128.31 / $16,595.87	Facility		$1,737.80	$8,128.31	$16,595.87
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,089.30 / $3,019.95 / $21,379.62	Facility		$2,089.30	$3,019.95	$21,379.62
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $2,187.76 / $8,511.38	Facility		$323.59	$2,187.76	$8,511.38
Martin's Point Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $3,801.89 / $3,801.89 / $3,801.89	Facility	52	$3,801.89	$3,801.89	$3,801.89
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $812.83 / $2,398.83	Professional		$223.87	$812.83	$2,398.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $1,023.29 / $2,884.03	Professional		$112.20	$1,023.29	$2,884.03
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $645.65 / $1,202.26	Facility		$213.80	$645.65	$1,202.26
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $645.65 / $1,318.26	Professional		$208.93	$645.65	$1,318.26
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $3,981.07 / $12,022.64	Facility		$1,737.80	$3,981.07	$12,022.64
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $691.83 / $1,698.24	Professional		$208.93	$691.83	$1,698.24

Pennsylvania rates for HCPCS 31652