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 $831.76 / $5,754.40 / $8,511.38	Facility	$831.76	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $87.10 / $165.96	Professional	$75.86	$87.10	$165.96
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $20,417.38 / $21,379.62 / $57,543.99	Facility	$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $85.11 / $154.88	Professional	$81.28	$85.11	$154.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $524.81 / $870.96	Facility	$141.25	$524.81	$870.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $107.15 / $181.97	Professional	$77.62	$107.15	$181.97
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	$165.96	$165.96	$165.96
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $109.65 / $151.36	Professional	$81.28	$109.65	$151.36
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $89.13 / $131.83	Professional	$74.13	$89.13	$131.83
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $3,981.07 / $8,317.64	Facility	$724.44	$3,981.07	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $89.13 / $436.52	Professional	$75.86	$89.13	$436.52
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Facility	$93.33	$93.33	$93.33
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $144.54 / $177.83	Professional	$93.33	$144.54	$177.83
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $79.43 / $89.13	Facility	$51.29	$79.43	$89.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $79.43 / $309.03	Professional	$26.92	$79.43	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $2,290.87 / $6,309.57	Facility	$398.11	$2,290.87	$6,309.57
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $95.50 / $162.18	Professional	$69.18	$95.50	$162.18

Pennsylvania rates for HCPCS 49412