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 $204.17 / $1,949.84 / $6,165.95	Facility		$204.17	$1,949.84	$6,165.95
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $3,090.30 / $6,025.60 / $9,549.93	Facility	50	$3,090.30	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $128.82 / $426.58	Professional		$64.57	$128.82	$426.58
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $1,905.46 / $6,918.31	Facility		$1,380.38	$1,905.46	$6,918.31
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $199.53 / $288.40	Professional		$147.91	$199.53	$288.40
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $138.04 / $239.88	Professional		$81.28	$138.04	$239.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $288.40	Professional		$275.42	$275.42	$288.40
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $181.97 / $281.84	Professional		$79.43	$181.97	$281.84
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,318.26 / $3,630.78 / $6,760.83	Facility		$1,318.26	$3,630.78	$6,760.83
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,000.00 / $3,890.45 / $8,128.31	Facility	50	$1,000.00	$3,890.45	$8,128.31
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $165.96 / $177.83	Professional		$144.54	$165.96	$177.83
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,258.93 / $1,698.24 / $6,918.31	Facility		$1,258.93	$1,698.24	$6,918.31
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $1,348.96 / $5,754.40	Facility		$109.65	$1,348.96	$5,754.40
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $4,570.88 / $8,912.51 / $9,549.93	Facility	50	$4,570.88	$8,912.51	$9,549.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $147.91 / $316.23	Professional		$75.86	$147.91	$316.23
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $229.09 / $323.59	Professional		$181.97	$229.09	$323.59
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $169.82 / $478.63	Facility		$83.18	$169.82	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $181.97 / $323.59	Professional		$60.26	$181.97	$323.59
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 $70.79 / $123.03 / $218.78	Professional		$70.79	$123.03	$218.78

Pennsylvania rates for HCPCS 38505