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 $676.08 / $2,691.53 / $6,309.57	Facility		$676.08	$2,691.53	$6,309.57
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $436.52 / $1,148.15 / $2,630.27	Facility	52	$436.52	$1,148.15	$2,630.27
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $426.58 / $1,023.29	Professional		$194.98	$426.58	$1,023.29
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $162.18 / $257.04 / $977.24	Professional	52	$162.18	$257.04	$977.24
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $56.23 / $131.83 / $524.81	Professional	53	$56.23	$131.83	$524.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $213.80 / $338.84	Professional		$165.96	$213.80	$338.84
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $44.67 / $50.12 / $57.54	Professional	52	$44.67	$50.12	$57.54
Ambetter Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $177.83 / $177.83 / $177.83	Professional	53	$177.83	$177.83	$177.83
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,862.09 / $2,951.21 / $15,488.17	Facility		$1,862.09	$2,951.21	$15,488.17
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $218.78 / $245.47	Professional		$123.03	$218.78	$245.47
AmeriHealth Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $61.66 / $61.66 / $81.28	Professional	53	$61.66	$61.66	$81.28
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $2,344.23 / $57,543.99	Facility		$1,995.26	$2,344.23	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $645.65 / $741.31	Professional		$302.00	$645.65	$741.31
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $891.25 / $1,737.80	Facility		$338.84	$891.25	$1,737.80
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $407.38 / $407.38 / $407.38	Facility	22	$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Facility	53	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $389.05 / $741.31	Professional		$213.80	$389.05	$741.31
Cigna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Professional	53	$281.84	$281.84	$281.84
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $616.60 / $1,000.00	Professional		$426.58	$616.60	$1,000.00
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $954.99 / $1,122.02	Facility		$724.44	$954.99	$1,122.02
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $512.86 / $794.33	Professional		$269.15	$512.86	$794.33
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,071.52 / $2,398.83 / $4,786.30	Facility		$1,071.52	$2,398.83	$4,786.30
Highmark BCBS Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $1,445.44 / $1,445.44 / $1,445.44	Facility	22	$1,445.44	$1,445.44	$1,445.44
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $891.25 / $1,698.24 / $2,818.38	Facility	52	$891.25	$1,698.24	$2,818.38
Highmark BCBS Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $3,548.13 / $3,548.13 / $3,548.13	Facility	53	$3,548.13	$3,548.13	$3,548.13
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $263.03 / $346.74	Professional		$229.09	$263.03	$346.74
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $114.82 / $147.91 / $199.53	Professional	52	$114.82	$147.91	$199.53
Highmark BCBS Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $114.82 / $151.36 / $186.21	Professional	53	$114.82	$151.36	$186.21
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,230.27 / $2,630.27 / $15,488.17	Facility		$1,230.27	$2,630.27	$15,488.17
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $245.47 / $257.04	Professional		$123.03	$245.47	$257.04
Independence Blue Cross Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $61.66 / $61.66 / $70.79	Professional	53	$61.66	$61.66	$70.79
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $1,288.25 / $5,754.40	Facility		$239.88	$1,288.25	$5,754.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $457.09 / $954.99	Professional		$208.93	$457.09	$954.99
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $1,047.13 / $2,884.03	Facility		$1,000.00	$1,047.13	$2,884.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $851.14 / $1,122.02	Professional		$501.19	$851.14	$1,122.02
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $407.38 / $912.01	Facility		$194.98	$407.38	$912.01
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $407.38 / $870.96	Professional		$194.98	$407.38	$870.96
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 $186.21 / $380.19 / $676.08	Professional		$186.21	$380.19	$676.08

Pennsylvania rates for HCPCS 45380