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 $645.65 / $2,398.83 / $6,309.57	Facility		$645.65	$2,398.83	$6,309.57
Aetna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $3,235.94 / $3,235.94 / $3,235.94	Facility	22	$3,235.94	$3,235.94	$3,235.94
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $436.52 / $2,290.87 / $4,073.80	Facility	52	$436.52	$2,290.87	$4,073.80
Aetna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $1,995.26 / $1,995.26 / $1,995.26	Facility	53	$1,995.26	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $457.09 / $1,122.02	Professional		$245.47	$457.09	$1,122.02
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $104.71 / $151.36 / $257.04	Professional	53	$104.71	$151.36	$257.04
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $275.42 / $457.09	Professional		$208.93	$275.42	$457.09
Ambetter Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Professional	53	$363.08	$363.08	$363.08
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,348.96 / $3,019.95 / $7,585.78	Facility		$1,348.96	$3,019.95	$7,585.78
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $354.81	Professional		$309.03	$309.03	$354.81
AmeriHealth Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $77.62 / $77.62 / $89.13	Professional	53	$77.62	$77.62	$89.13
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 $354.81 / $380.19 / $1,000.00	Professional		$354.81	$380.19	$1,000.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $933.25 / $1,778.28	Facility		$426.58	$933.25	$1,778.28
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $512.86 / $512.86 / $512.86	Facility	22	$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $338.84 / $338.84 / $338.84	Facility	52	$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Facility	53	$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $436.52 / $794.33	Professional		$257.04	$436.52	$794.33
Cigna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Professional	53	$295.12	$295.12	$295.12
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $645.65 / $1,047.13	Professional		$512.86	$645.65	$1,047.13
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $977.24 / $1,122.02	Facility		$724.44	$977.24	$1,122.02
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $562.34 / $831.76	Professional		$323.59	$562.34	$831.76
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $2,089.30 / $4,073.80	Facility		$954.99	$2,089.30	$4,073.80
Highmark BCBS Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $1,584.89 / $1,584.89 / $1,584.89	Facility	22	$1,584.89	$1,584.89	$1,584.89
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $467.74 / $1,905.46 / $2,630.27	Facility	52	$467.74	$1,905.46	$2,630.27
Highmark BCBS Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $2,089.30 / $2,089.30 / $2,089.30	Facility	53	$2,089.30	$2,089.30	$2,089.30
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $331.13 / $478.63	Professional		$281.84	$331.13	$478.63
Highmark BCBS Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $151.36 / $165.96 / $245.47	Professional	53	$151.36	$165.96	$245.47
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $891.25 / $2,630.27 / $7,585.78	Facility		$891.25	$2,630.27	$7,585.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $398.11	Professional		$309.03	$309.03	$398.11
Independence Blue Cross Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $77.62 / $154.88 / $169.82	Professional	53	$77.62	$154.88	$169.82
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $1,023.29 / $5,370.32	Facility		$288.40	$1,023.29	$5,370.32
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $489.78 / $1,000.00	Professional		$263.03	$489.78	$1,000.00
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 $616.60 / $954.99 / $1,230.27	Professional		$616.60	$954.99	$1,230.27
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $407.38 / $562.34	Facility		$245.47	$407.38	$562.34
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $407.38 / $446.68	Professional		$245.47	$407.38	$446.68
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 $234.42 / $426.58 / $741.31	Professional		$234.42	$426.58	$741.31

Pennsylvania rates for HCPCS 45385