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 $309.03 / $2,344.23 / $8,317.64	Facility		$309.03	$2,344.23	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $346.74 / $1,995.26	Professional		$89.13	$346.74	$1,995.26
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $83.18 / $1,000.00	Professional		$77.62	$83.18	$1,000.00
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $13,803.84 / $14,125.38 / $37,153.52	Facility		$13,803.84	$14,125.38	$37,153.52
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 $851.14 / $891.25 / $2,398.83	Professional		$851.14	$891.25	$2,398.83
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $630.96	Facility		$151.36	$151.36	$630.96
Cigna Facility/Professional Facility Modifier 62 Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Facility	62	$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $239.88 / $2,041.74	Professional		$95.50	$239.88	$2,041.74
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $1,318.26 / $1,584.89	Professional		$954.99	$1,318.26	$1,584.89
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $1,288.25 / $1,778.28	Professional		$117.49	$1,288.25	$1,778.28
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $4,265.80 / $19,952.62	Facility		$1,737.80	$4,265.80	$19,952.62
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $107.15 / $114.82	Professional		$100.00	$107.15	$114.82
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $13,803.84 / $14,125.38 / $37,153.52	Facility		$13,803.84	$14,125.38	$37,153.52
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $1,513.56 / $6,165.95	Facility		$128.82	$1,513.56	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $891.25 / $2,187.76	Professional		$97.72	$891.25	$2,187.76
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $562.34 / $1,905.46	Professional		$562.34	$562.34	$1,905.46
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $338.84 / $1,445.44	Facility		$13.49	$338.84	$1,445.44
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $338.84 / $1,000.00	Professional		$63.10	$338.84	$1,000.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $575.44 / $4,466.84	Facility		$144.54	$575.44	$4,466.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $977.24 / $2,041.74	Professional		$91.20	$977.24	$2,041.74

Pennsylvania rates for HCPCS 37252