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 $436.52 / $2,290.87 / $6,165.95	Facility		$436.52	$2,290.87	$6,165.95
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,000.00 / $1,071.52 / $1,071.52	Facility	52	$1,000.00	$1,071.52	$1,071.52
Aetna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $4,570.88 / $4,570.88 / $4,570.88	Facility	53	$4,570.88	$4,570.88	$4,570.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $194.98 / $870.96	Professional		$81.28	$194.98	$870.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $87.10	Professional		$42.66	$42.66	$87.10
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $549.54 / $660.69	Professional		$309.03	$549.54	$660.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $186.21 / $691.83	Professional		$93.33	$186.21	$691.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $602.56 / $630.96	Professional		$602.56	$602.56	$630.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $478.63 / $724.44	Professional		$104.71	$478.63	$724.44
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $3,311.31 / $5,011.87	Facility		$1,023.29	$3,311.31	$5,011.87
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $4,677.35 / $4,677.35 / $4,677.35	Facility	52	$4,677.35	$4,677.35	$4,677.35
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $87.10	Professional		$42.66	$42.66	$87.10
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $1,513.56 / $6,165.95	Facility		$123.03	$1,513.56	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $371.54 / $851.14	Professional		$89.13	$371.54	$851.14
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $467.74 / $588.84	Professional		$467.74	$467.74	$588.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $316.23 / $602.56	Facility		$81.28	$316.23	$602.56
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $346.74 / $602.56	Professional		$81.28	$346.74	$602.56
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,096.48 / $2,818.38 / $5,623.41	Facility		$1,096.48	$2,818.38	$5,623.41
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $269.15 / $645.65	Professional		$85.11	$269.15	$645.65

Pennsylvania rates for HCPCS 36573