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 $870.96 / $4,786.30 / $16,982.44	Facility		$870.96	$4,786.30	$16,982.44
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,122.02 / $3,715.35 / $13,489.63	Facility	50	$1,122.02	$3,715.35	$13,489.63
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $446.68 / $1,202.26	Professional		$213.80	$446.68	$1,202.26
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $3,467.37 / $50,118.72	Facility		$2,570.40	$3,467.37	$50,118.72
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $295.12 / $501.19	Professional		$234.42	$295.12	$501.19
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 $446.68 / $676.08 / $851.14	Professional		$446.68	$676.08	$851.14
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $512.86 / $851.14	Professional		$346.74	$512.86	$851.14
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $758.58	Professional		$691.83	$691.83	$758.58
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $575.44 / $812.83	Professional		$398.11	$575.44	$812.83
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,454.71 / $13,489.63 / $26,302.68	Facility		$2,454.71	$13,489.63	$26,302.68
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,548.82 / $14,454.40 / $72,443.60	Facility	50	$1,548.82	$14,454.40	$72,443.60
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $524.81 / $660.69	Professional		$457.09	$524.81	$660.69
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $3,235.94 / $23,988.33	Facility		$2,344.23	$3,235.94	$23,988.33
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $407.38 / $501.19	Professional		$234.42	$407.38	$501.19
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $3,548.13 / $19,498.45	Facility		$575.44	$3,548.13	$19,498.45
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $537.03 / $1,023.29	Professional		$398.11	$537.03	$1,023.29
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $660.69 / $912.01	Professional		$407.38	$660.69	$912.01
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $416.87 / $426.58	Facility		$416.87	$416.87	$426.58
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $426.58 / $588.84	Professional		$416.87	$426.58	$588.84
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 $380.19 / $489.78 / $870.96	Professional		$380.19	$489.78	$870.96

Pennsylvania rates for HCPCS 38525