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 $1,122.02 / $5,248.07 / $15,488.17	Facility		$1,122.02	$5,248.07	$15,488.17
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $3,235.94 / $5,888.44 / $21,379.62	Facility	50	$3,235.94	$5,888.44	$21,379.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $812.83 / $3,162.28	Professional		$309.03	$812.83	$3,162.28
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $234.42 / $575.44 / $4,897.79	Professional	50	$234.42	$575.44	$4,897.79
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $281.84 / $398.11	Professional		$199.53	$281.84	$398.11
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $251.19 / $251.19 / $251.19	Professional	50	$251.19	$251.19	$251.19
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $3,467.37 / $15,135.61	Facility		$2,570.40	$3,467.37	$15,135.61
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $323.59	Professional		$199.53	$199.53	$323.59
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,905.46 / $1,949.84 / $3,311.31	Professional		$1,905.46	$1,949.84	$3,311.31
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $2,818.38 / $2,951.21 / $5,011.87	Professional	50	$2,818.38	$2,951.21	$5,011.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $891.25 / $3,235.94	Professional		$371.54	$891.25	$3,235.94
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,454.71 / $3,311.31 / $3,981.07	Professional		$2,454.71	$3,311.31	$3,981.07
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $2,187.76 / $3,981.07	Professional		$512.86	$2,187.76	$3,981.07
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $9,332.54 / $30,902.95	Facility		$602.56	$9,332.54	$30,902.95
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,445.44 / $4,786.30 / $91,201.08	Facility	50	$1,445.44	$4,786.30	$91,201.08
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $457.09 / $1,862.09	Professional		$389.05	$457.09	$1,862.09
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $630.96 / $676.08 / $1,659.59	Professional	50	$630.96	$676.08	$1,659.59
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $3,019.95 / $14,791.08	Facility		$2,137.96	$3,019.95	$14,791.08
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $323.59	Professional		$199.53	$199.53	$323.59
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $3,235.94 / $8,317.64	Facility		$588.84	$3,235.94	$8,317.64
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $4,677.35 / $4,677.35 / $4,677.35	Facility	50	$4,677.35	$4,677.35	$4,677.35
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $1,548.82 / $3,981.07	Professional		$389.05	$1,548.82	$3,981.07
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $2,691.53 / $4,897.79	Professional		$371.54	$2,691.53	$4,897.79
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $1,513.56 / $2,511.89	Facility		$316.23	$1,513.56	$2,511.89
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $1,862.09 / $2,511.89	Professional		$338.84	$1,862.09	$2,511.89
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,019.95 / $6,309.57 / $17,782.79	Facility		$3,019.95	$6,309.57	$17,782.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $1,778.28 / $3,388.44	Professional		$363.08	$1,778.28	$3,388.44
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $75.86 / $75.86 / $89.13	Professional	50	$75.86	$75.86	$89.13

Pennsylvania rates for HCPCS 36226