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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $2,290.87 / $7,244.36	Facility	$245.47	$2,290.87	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $281.84 / $630.96	Professional	$120.23	$281.84	$630.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional	$102.33	$102.33	$102.33
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,801.89 / $4,466.84 / $57,543.99	Facility	$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $295.12 / $295.12	Professional	$251.19	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $891.25 / $1,737.80	Facility	$204.17	$891.25	$1,737.80
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $251.19 / $489.78	Professional	$128.82	$251.19	$489.78
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Facility	$245.47	$245.47	$245.47
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $478.63 / $691.83	Professional	$354.81	$478.63	$691.83
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $912.01 / $1,122.02	Facility	$724.44	$912.01	$1,122.02
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $331.13 / $549.54	Professional	$147.91	$331.13	$549.54
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $2,511.89 / $4,365.16	Facility	$691.83	$2,511.89	$4,365.16
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $151.36 / $239.88	Professional	$138.04	$151.36	$239.88
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $1,230.27 / $5,754.40	Facility	$173.78	$1,230.27	$5,754.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $302.00 / $691.83	Professional	$123.03	$302.00	$691.83
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Facility	$275.42	$275.42	$275.42
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $602.56 / $776.25	Professional	$275.42	$602.56	$776.25
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $309.03 / $380.19	Facility	$114.82	$309.03	$380.19
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $288.40 / $407.38	Professional	$87.10	$288.40	$407.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $2,398.83 / $4,265.80	Facility	$588.84	$2,398.83	$4,265.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $245.47 / $446.68	Professional	$112.20	$245.47	$446.68

Pennsylvania rates for HCPCS 45338