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 $269.15 / $1,778.28 / $7,244.36	Facility		$269.15	$1,778.28	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $758.58 / $758.58 / $758.58	Facility	50	$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $213.80 / $588.84	Professional		$87.10	$213.80	$588.84
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $141.25 / $398.11 / $1,174.90	Professional	50	$141.25	$398.11	$1,174.90
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $40.74 / $104.71	Professional		$40.74	$40.74	$104.71
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $239.88 / $338.84	Professional		$169.82	$239.88	$338.84
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $257.04 / $371.54 / $501.19	Professional	50	$257.04	$371.54	$501.19
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $186.21 / $338.84	Professional		$91.20	$186.21	$338.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $338.84 / $354.81	Professional		$338.84	$338.84	$354.81
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $251.19 / $363.08	Professional		$117.49	$251.19	$363.08
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $794.33 / $1,096.48	Facility		$275.42	$794.33	$1,096.48
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $588.84 / $2,454.71 / $2,754.23	Facility	50	$588.84	$2,454.71	$2,754.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $218.78 / $234.42	Professional		$204.17	$218.78	$234.42
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $346.74 / $346.74 / $363.08	Professional	50	$346.74	$346.74	$363.08
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $1,584.89 / $6,165.95	Facility		$245.47	$1,584.89	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $181.97 / $446.68	Professional		$83.18	$181.97	$446.68
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $204.17 / $416.87	Professional		$30.20	$204.17	$416.87
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $128.82 / $199.53	Facility		$114.82	$128.82	$199.53
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $114.82 / $199.53	Professional		$58.88	$114.82	$199.53
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $977.24 / $3,890.45	Facility		$363.08	$977.24	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $162.18 / $309.03	Professional		$79.43	$162.18	$309.03

Pennsylvania rates for HCPCS 36471