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 $288.40 / $2,344.23 / $6,165.95	Facility		$288.40	$2,344.23	$6,165.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $158.49 / $537.03	Professional		$67.61	$158.49	$537.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $66.07 / $107.15	Professional		$30.90	$66.07	$107.15
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $85.11	Professional		$74.13	$74.13	$85.11
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 $100.00 / $131.83 / $154.88	Professional		$100.00	$131.83	$154.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $724.44 / $1,348.96	Facility		$123.03	$724.44	$1,348.96
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Facility	52	$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $24.55 / $24.55 / $24.55	Facility	53	$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $181.97 / $426.58	Professional		$75.86	$181.97	$426.58
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $416.87 / $660.69	Professional		$141.25	$416.87	$660.69
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $562.34 / $575.44 / $870.96	Facility		$562.34	$575.44	$870.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $302.00 / $512.86	Professional		$79.43	$302.00	$512.86
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $891.25 / $1,949.84 / $3,801.89	Facility		$891.25	$1,949.84	$3,801.89
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,949.84 / $1,949.84 / $1,949.84	Facility	52	$1,949.84	$1,949.84	$1,949.84
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $95.50 / $346.74	Professional		$83.18	$95.50	$346.74
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $85.11	Professional		$74.13	$74.13	$85.11
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $1,348.96 / $5,370.32	Facility		$104.71	$1,348.96	$5,370.32
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $199.53 / $602.56	Professional		$72.44	$199.53	$602.56
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $1,513.56 / $5,754.40	Facility		$151.36	$1,513.56	$5,754.40
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $354.81 / $691.83	Professional		$151.36	$354.81	$691.83
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $165.96 / $323.59	Facility		$69.18	$165.96	$323.59
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $281.84 / $389.05	Professional		$69.18	$281.84	$389.05
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 $64.57 / $154.88 / $398.11	Professional		$64.57	$154.88	$398.11

Pennsylvania rates for HCPCS 45331