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 $363.08 / $3,311.31 / $8,317.64	Facility	$363.08	$3,311.31	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $676.08 / $1,949.84	Professional	$194.98	$676.08	$1,949.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $173.78 / $331.13	Professional	$154.88	$173.78	$331.13
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $7,585.78 / $57,543.99	Facility	$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $933.25 / $2,630.27	Professional	$912.01	$933.25	$2,630.27
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $1,621.81 / $4,786.30	Facility	$338.84	$1,621.81	$4,786.30
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $851.14 / $2,344.23	Professional	$213.80	$851.14	$2,344.23
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $389.05 / $389.05 / $389.05	Facility	$389.05	$389.05	$389.05
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,348.96 / $1,949.84	Professional	$1,000.00	$1,348.96	$1,949.84
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $2,754.23 / $3,019.95	Facility	$1,949.84	$2,754.23	$3,019.95
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $1,230.27 / $1,737.80	Professional	$269.15	$1,230.27	$1,737.80
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,398.83 / $7,943.28 / $15,848.93	Facility	$2,398.83	$7,943.28	$15,848.93
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $204.17	Professional	$199.53	$199.53	$204.17
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $1,819.70 / $7,244.36	Facility	$295.12	$1,819.70	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $912.01 / $2,089.30	Professional	$199.53	$912.01	$2,089.30
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $478.63	Facility	$478.63	$478.63	$478.63
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $1,995.26 / $3,162.28	Professional	$478.63	$1,995.26	$3,162.28
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $1,023.29 / $1,584.89	Facility	$194.98	$1,023.29	$1,584.89
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $954.99 / $1,584.89	Professional	$194.98	$954.99	$1,584.89
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,412.54 / $4,073.80 / $11,481.54	Facility	$1,412.54	$4,073.80	$11,481.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $812.83 / $2,041.74	Professional	$186.21	$812.83	$2,041.74

Pennsylvania rates for HCPCS 49418