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 $380.19 / $3,630.78 / $8,511.38	Facility		$380.19	$3,630.78	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,511.89 / $3,548.13 / $6,456.54	Facility	50	$2,511.89	$3,548.13	$6,456.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $338.84 / $1,230.27	Professional		$213.80	$338.84	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $776.25 / $776.25 / $776.25	Professional	50	$776.25	$776.25	$776.25
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,801.89 / $3,801.89 / $57,543.99	Facility		$3,801.89	$3,801.89	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $426.58 / $549.54	Professional		$263.03	$426.58	$549.54
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $398.11 / $660.69 / $831.76	Professional	50	$398.11	$660.69	$831.76
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $323.59 / $562.34	Professional		$218.78	$323.59	$562.34
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $512.86 / $549.54	Professional		$512.86	$512.86	$549.54
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $416.87 / $616.60	Professional		$275.42	$416.87	$616.60
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,096.48 / $3,019.95 / $6,760.83	Facility		$1,096.48	$3,019.95	$6,760.83
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $7,585.78 / $10,471.29 / $16,218.10	Facility	50	$7,585.78	$10,471.29	$16,218.10
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $263.03 / $302.00	Professional		$245.47	$263.03	$302.00
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $316.23 / $398.11 / $537.03	Professional	50	$316.23	$398.11	$537.03
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $380.19 / $2,398.83 / $8,317.64	Facility		$380.19	$2,398.83	$8,317.64
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $6,918.31 / $6,918.31 / $6,918.31	Facility	50	$6,918.31	$6,918.31	$6,918.31
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $346.74 / $724.44	Professional		$218.78	$346.74	$724.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $371.54 / $741.31	Professional		$346.74	$371.54	$741.31
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $407.38 / $933.25	Facility		$199.53	$407.38	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $309.03 / $416.87	Professional		$190.55	$309.03	$416.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $2,951.21 / $5,888.44	Facility		$1,000.00	$2,951.21	$5,888.44
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $316.23 / $549.54	Professional		$199.53	$316.23	$549.54

Pennsylvania rates for HCPCS 37609