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 $977.24 / $5,370.32 / $23,442.29	Facility	$977.24	$5,370.32	$23,442.29
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $1,949.84 / $13,803.84	Professional	$588.84	$1,949.84	$13,803.84
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,365.16 / $6,760.83 / $46,773.51	Facility	$4,365.16	$6,760.83	$46,773.51
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $562.34 / $562.34	Professional	$562.34	$562.34	$562.34
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $20,417.38 / $21,379.62 / $57,543.99	Facility	$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,760.83 / $14,125.38 / $17,378.01	Professional	$6,760.83	$14,125.38	$17,378.01
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $1,096.48 / $15,488.17	Professional	$549.54	$1,096.48	$15,488.17
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $13,489.63 / $13,489.63 / $13,803.84	Professional	$13,489.63	$13,489.63	$13,803.84
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $10,471.29 / $16,595.87	Professional	$741.31	$10,471.29	$16,595.87
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,495.41 / $24,547.09 / $52,480.75	Facility	$5,495.41	$24,547.09	$52,480.75
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,168.69 / $6,025.60 / $46,773.51	Facility	$4,168.69	$6,025.60	$46,773.51
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $562.34 / $562.34	Professional	$562.34	$562.34	$562.34
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $3,981.07 / $21,877.62	Facility	$724.44	$3,981.07	$21,877.62
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $1,905.46 / $16,595.87	Professional	$588.84	$1,905.46	$16,595.87
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10,964.78 / $11,481.54 / $14,454.40	Professional	$10,964.78	$11,481.54	$14,454.40
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $933.25 / $10,000.00	Facility	$537.03	$933.25	$10,000.00
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $933.25 / $9,120.11	Professional	$537.03	$933.25	$9,120.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,630.78 / $10,964.78 / $37,153.52	Facility	$3,630.78	$10,964.78	$37,153.52
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $6,456.54 / $15,488.17	Professional	$575.44	$6,456.54	$15,488.17

Pennsylvania rates for HCPCS 37243