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 / $3,801.89 / $8,709.64	Facility		$380.19	$3,801.89	$8,709.64
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,047.13 / $18,197.01 / $31,622.78	Facility	50	$1,047.13	$18,197.01	$31,622.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $331.13 / $776.25	Professional		$229.09	$331.13	$776.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $3,890.45 / $26,302.68	Facility		$2,570.40	$3,890.45	$26,302.68
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $478.63 / $602.56	Professional		$331.13	$478.63	$602.56
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $346.74 / $575.44	Professional		$229.09	$346.74	$575.44
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $602.56 / $645.65	Professional		$602.56	$602.56	$645.65
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $446.68 / $630.96	Professional		$251.19	$446.68	$630.96
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $10,471.29 / $22,908.68	Facility		$2,511.89	$10,471.29	$22,908.68
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $302.00 / $363.08	Professional		$204.17	$302.00	$363.08
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,290.87 / $3,162.28 / $12,589.25	Facility		$2,290.87	$3,162.28	$12,589.25
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $1,479.11 / $8,128.31	Facility		$338.84	$1,479.11	$8,128.31
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $346.74 / $724.44	Professional		$245.47	$346.74	$724.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $562.34 / $758.58	Professional		$257.04	$562.34	$758.58
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $251.19 / $281.84 / $416.87	Facility		$251.19	$281.84	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $331.13 / $416.87	Professional		$251.19	$331.13	$416.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $3,981.07 / $12,589.25	Facility		$1,659.59	$3,981.07	$12,589.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $338.84 / $562.34	Professional		$239.88	$338.84	$562.34

Pennsylvania rates for HCPCS 38500