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 $72.44 / $912.01 / $5,370.32	Facility		$72.44	$912.01	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,454.71 / $2,454.71 / $2,454.71	Facility	50	$2,454.71	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $72.44 / $169.82	Professional		$30.90	$72.44	$169.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $43.65 / $46.77	Professional		$19.95	$43.65	$46.77
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $794.33 / $9,549.93	Facility		$575.44	$794.33	$9,549.93
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $44.67	Professional		$33.88	$33.88	$44.67
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $83.18 / $125.89	Professional		$70.79	$83.18	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $56.23 / $138.04	Professional		$31.62	$56.23	$138.04
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $117.49 / $141.25	Professional		$87.10	$117.49	$141.25
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $85.11 / $154.88	Professional		$38.02	$85.11	$154.88
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $1,047.13 / $1,862.09	Facility		$117.49	$1,047.13	$1,862.09
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $37.15 / $48.98	Professional		$33.88	$37.15	$48.98
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $707.95 / $9,120.11	Facility		$524.81	$707.95	$9,120.11
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $43.65 / $676.08	Professional		$29.51	$43.65	$676.08
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $1,047.13 / $5,754.40	Facility		$47.86	$1,047.13	$5,754.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $70.79 / $154.88	Professional		$32.36	$70.79	$154.88
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $63.10 / $158.49	Professional		$34.67	$63.10	$158.49
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $47.86 / $257.04	Facility		$14.79	$47.86	$257.04
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $51.29 / $257.04	Professional		$19.50	$51.29	$257.04
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $954.99 / $3,890.45	Facility		$363.08	$954.99	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $64.57 / $151.36	Professional		$30.90	$64.57	$151.36

Pennsylvania rates for HCPCS 38792