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 / $2,691.53 / $8,317.64	Facility	$141.25	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $128.82 / $346.74	Professional	$50.12	$128.82	$346.74
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Professional	$104.71	$104.71	$104.71
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,019.95 / $4,073.80 / $12,302.69	Facility	$3,019.95	$4,073.80	$12,302.69
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $1,000.00 / $1,148.15	Professional	$138.04	$1,000.00	$1,148.15
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 $97.72 / $114.82 / $144.54	Professional	$97.72	$114.82	$144.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $107.15 / $245.47	Professional	$50.12	$107.15	$245.47
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $162.18 / $190.55	Professional	$117.49	$162.18	$190.55
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $158.49 / $269.15	Professional	$58.88	$158.49	$269.15
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $1,000.00 / $5,888.44	Facility	$457.09	$1,000.00	$5,888.44
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $61.66 / $67.61	Professional	$54.95	$61.66	$67.61
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $3,630.78 / $11,748.98	Facility	$2,511.89	$3,630.78	$11,748.98
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $1,000.00 / $1,148.15	Professional	$138.04	$1,000.00	$1,148.15
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $2,398.83 / $8,317.64	Facility	$144.54	$2,398.83	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $125.89 / $309.03	Professional	$52.48	$125.89	$309.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $169.82 / $338.84	Professional	$70.79	$169.82	$338.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $74.13 / $117.49	Facility	$46.77	$74.13	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $74.13 / $158.49	Professional	$32.36	$74.13	$158.49
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $630.96 / $4,466.84	Facility	$162.18	$630.96	$4,466.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $112.20 / $251.19	Professional	$50.12	$112.20	$251.19

Pennsylvania rates for HCPCS 36248