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 $724.44 / $3,801.89 / $8,317.64	Facility		$724.44	$3,801.89	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $9,549.93 / $12,589.25 / $12,589.25	Facility	50	$9,549.93	$12,589.25	$12,589.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $1,047.13 / $2,398.83	Professional		$302.00	$1,047.13	$2,398.83
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $117.49 / $295.12 / $1,513.56	Professional	50	$117.49	$295.12	$1,513.56
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $177.83	Professional		$144.54	$144.54	$177.83
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $19,952.62 / $19,952.62 / $19,952.62	Facility		$19,952.62	$19,952.62	$19,952.62
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 $1,513.56 / $1,548.82 / $2,818.38	Professional		$1,513.56	$1,548.82	$2,818.38
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $2,238.72 / $2,344.23 / $4,168.69	Professional	50	$2,238.72	$2,344.23	$4,168.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $794.33 / $2,630.27	Professional		$331.13	$794.33	$2,630.27
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,949.84 / $2,630.27 / $3,090.30	Professional		$1,949.84	$2,630.27	$3,090.30
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $1,737.80 / $3,388.44	Professional		$457.09	$1,737.80	$3,388.44
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,122.02 / $2,818.38 / $13,803.84	Facility		$1,122.02	$2,818.38	$13,803.84
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,584.89 / $2,137.96 / $4,073.80	Facility	50	$1,584.89	$2,137.96	$4,073.80
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $380.19 / $1,000.00	Professional		$380.19	$380.19	$1,000.00
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $776.25 / $776.25 / $776.25	Professional	50	$776.25	$776.25	$776.25
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $19,952.62 / $19,952.62 / $19,952.62	Facility		$19,952.62	$19,952.62	$19,952.62
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $2,454.71 / $8,317.64	Facility		$575.44	$2,454.71	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $1,258.93 / $3,162.28	Professional		$338.84	$1,258.93	$3,162.28
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $2,398.83 / $3,801.89	Professional		$338.84	$2,398.83	$3,801.89
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $1,288.25 / $1,479.11	Facility		$295.12	$1,288.25	$1,479.11
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $1,288.25 / $1,479.11	Professional		$295.12	$1,288.25	$1,479.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,187.76 / $4,570.88 / $10,232.93	Facility		$2,187.76	$4,570.88	$10,232.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $1,479.11 / $2,754.23	Professional		$323.59	$1,479.11	$2,754.23

Pennsylvania rates for HCPCS 36225