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 $251.19 / $2,344.23 / $11,220.18	Facility		$251.19	$2,344.23	$11,220.18
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $3,630.78 / $5,370.32 / $5,370.32	Facility	50	$3,630.78	$5,370.32	$5,370.32
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $295.12 / $1,230.27	Professional		$154.88	$295.12	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $199.53 / $1,230.27 / $3,630.78	Professional	50	$199.53	$1,230.27	$3,630.78
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,019.95 / $4,073.80 / $42,657.95	Facility		$3,019.95	$4,073.80	$42,657.95
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $1,148.15 / $1,479.11	Professional		$676.08	$1,148.15	$1,479.11
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $1,023.29 / $1,778.28 / $2,238.72	Professional	50	$1,023.29	$1,778.28	$2,238.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $338.84 / $1,445.44	Professional		$194.98	$338.84	$1,445.44
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,348.96 / $1,348.96 / $1,380.38	Professional		$1,348.96	$1,348.96	$1,380.38
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $1,047.13 / $1,659.59	Professional		$199.53	$1,047.13	$1,659.59
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,230.27 / $3,630.78 / $8,511.38	Facility		$1,230.27	$3,630.78	$8,511.38
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $229.09 / $1,023.29	Professional		$199.53	$229.09	$1,023.29
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $3,630.78 / $20,892.96	Facility		$2,511.89	$3,630.78	$20,892.96
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $251.19 / $1,445.44 / $6,165.95	Facility		$251.19	$1,445.44	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $776.25 / $1,905.46	Professional		$186.21	$776.25	$1,905.46
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $245.47 / $2,137.96	Professional		$234.42	$245.47	$2,137.96
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $407.38 / $912.01	Facility		$165.96	$407.38	$912.01
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $794.33 / $912.01	Professional		$165.96	$794.33	$912.01
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $575.44 / $4,466.84	Facility		$162.18	$575.44	$4,466.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $457.09 / $1,380.38	Professional		$173.78	$457.09	$1,380.38

Pennsylvania rates for HCPCS 36012