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 $141.25 / $1,778.28 / $5,623.41	Facility		$141.25	$1,778.28	$5,623.41
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $2,570.40	Facility	52	$1,000.00	$1,000.00	$2,570.40
Aetna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $1,122.02 / $1,122.02 / $1,122.02	Facility	53	$1,122.02	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $125.89 / $338.84	Professional		$53.70	$125.89	$338.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $50.12 / $53.70	Professional		$26.30	$50.12	$53.70
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $57.54 / $204.17	Professional		$28.84	$57.54	$204.17
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,398.83 / $57,543.99	Facility		$2,344.23	$2,398.83	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $263.03 / $331.13	Professional		$109.65	$263.03	$331.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $323.59 / $645.65	Facility		$95.50	$323.59	$645.65
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Facility	52	$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $19.05 / $19.05 / $19.05	Facility	53	$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $147.91 / $295.12	Professional		$58.88	$147.91	$295.12
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $275.42 / $446.68	Professional		$131.83	$275.42	$446.68
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $269.15 / $316.23	Facility		$204.17	$269.15	$316.23
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $204.17 / $338.84	Professional		$67.61	$204.17	$338.84
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $331.13 / $1,949.84 / $3,715.35	Facility		$331.13	$1,949.84	$3,715.35
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $0.50 / $691.83 / $1,621.81	Facility	52	$0.50	$691.83	$1,621.81
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $75.86 / $229.09	Professional		$66.07	$75.86	$229.09
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $57.54 / $204.17	Professional		$30.20	$57.54	$204.17
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $933.25 / $5,248.07	Facility		$74.13	$933.25	$5,248.07
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $158.49 / $389.05	Professional		$57.54	$158.49	$389.05
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $1,479.11 / $5,754.40	Facility		$123.03	$1,479.11	$5,754.40
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $295.12 / $457.09	Professional		$123.03	$295.12	$457.09
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $125.89 / $186.21	Facility		$53.70	$125.89	$186.21
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $177.83 / $194.98	Professional		$53.70	$177.83	$194.98
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $407.38 / $1,513.56 / $3,311.31	Facility		$407.38	$1,513.56	$3,311.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $123.03 / $263.03	Professional		$51.29	$123.03	$263.03

Pennsylvania rates for HCPCS 45330