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 $380.19 / $1,995.26 / $5,248.07	Facility		$380.19	$1,995.26	$5,248.07
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $851.14 / $933.25 / $1,513.56	Facility	52	$851.14	$933.25	$1,513.56
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $199.53 / $575.44	Professional		$97.72	$199.53	$575.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $147.91 / $194.98	Professional		$79.43	$147.91	$194.98
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,398.83 / $3,162.28 / $7,585.78	Facility		$2,398.83	$3,162.28	$7,585.78
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $107.15 / $120.23	Professional		$53.70	$107.15	$120.23
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,570.40 / $57,543.99	Facility		$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $288.40 / $524.81	Professional		$275.42	$288.40	$524.81
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $707.95 / $1,380.38	Facility		$177.83	$707.95	$1,380.38
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Facility	52	$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Facility	53	$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $229.09 / $501.19	Professional		$112.20	$229.09	$501.19
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $407.38 / $588.84	Professional		$302.00	$407.38	$588.84
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $741.31 / $851.14	Facility		$549.54	$741.31	$851.14
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $316.23 / $467.74	Professional		$125.89	$316.23	$467.74
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,122.02 / $2,137.96 / $3,388.44	Facility		$1,122.02	$2,137.96	$3,388.44
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,318.26	Facility	52	$1,000.00	$1,000.00	$1,318.26
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $117.49 / $275.42	Professional		$100.00	$117.49	$275.42
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,202.26 / $3,019.95 / $6,309.57	Facility		$1,202.26	$3,019.95	$6,309.57
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $107.15 / $125.89	Professional		$53.70	$107.15	$125.89
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $1,659.59 / $5,370.32	Facility		$154.88	$1,659.59	$5,370.32
Martin's Point Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $933.25 / $933.25 / $933.25	Facility	52	$933.25	$933.25	$933.25
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $288.40 / $645.65	Professional		$107.15	$288.40	$645.65
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,202.26 / $1,479.11 / $1,905.46	Facility		$1,202.26	$1,479.11	$1,905.46
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $549.54 / $758.58	Professional		$354.81	$549.54	$758.58
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $269.15 / $549.54	Facility		$22.91	$269.15	$549.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $269.15 / $549.54	Professional		$70.79	$269.15	$549.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $2,041.74 / $3,890.45	Facility		$602.56	$2,041.74	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $245.47 / $478.63	Professional		$97.72	$245.47	$478.63

Pennsylvania rates for HCPCS 49083