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 $97.72 / $288.40 / $1,071.52	Facility	$97.72	$288.40	$1,071.52
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $100.00 / $165.96	Professional	$89.13	$100.00	$165.96
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 $89.13 / $134.90 / $194.98	Professional	$89.13	$134.90	$194.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $128.82 / $199.53	Professional	$95.50	$128.82	$199.53
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $144.54	Professional	$134.90	$134.90	$144.54
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $120.23 / $151.36	Professional	$85.11	$120.23	$151.36
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $288.40	Facility	$97.72	$97.72	$288.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $100.00 / $128.82	Professional	$89.13	$100.00	$128.82
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $218.78 / $251.19	Professional	$190.55	$218.78	$251.19
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $426.58	Facility	$93.33	$93.33	$426.58
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $426.58	Professional	$93.33	$93.33	$426.58
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $2,630.27 / $7,079.46	Facility	$660.69	$2,630.27	$7,079.46
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $112.20 / $204.17	Professional	$89.13	$112.20	$204.17

Pennsylvania rates for HCPCS 38204