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 $537.03 / $2,398.83 / $8,317.64	Facility		$537.03	$2,398.83	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,691.53 / $4,570.88 / $11,220.18	Facility	50	$2,691.53	$4,570.88	$11,220.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $512.86 / $1,412.54	Professional		$95.50	$512.86	$1,412.54
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $186.21 / $346.74 / $2,511.89	Professional	50	$186.21	$346.74	$2,511.89
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $2,137.96 / $7,244.36	Facility		$1,380.38	$2,137.96	$7,244.36
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $707.95 / $954.99	Professional		$478.63	$707.95	$954.99
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $724.44 / $1,122.02 / $1,445.44	Professional	50	$724.44	$1,122.02	$1,445.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $323.59 / $870.96	Professional		$107.15	$323.59	$870.96
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $933.25 / $954.99	Professional		$933.25	$933.25	$954.99
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $602.56 / $912.01	Professional		$114.82	$602.56	$912.01
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,122.02 / $4,168.69 / $8,709.64	Facility		$1,122.02	$4,168.69	$8,709.64
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,513.56 / $4,466.84 / $10,000.00	Facility	50	$1,513.56	$4,466.84	$10,000.00
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $117.49 / $138.04	Professional		$117.49	$117.49	$138.04
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,288.25 / $1,737.80 / $3,548.13	Facility		$1,288.25	$1,737.80	$3,548.13
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $1,584.89 / $6,606.93	Facility		$208.93	$1,584.89	$6,606.93
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $4,570.88 / $4,570.88 / $9,772.37	Facility	50	$4,570.88	$4,570.88	$9,772.37
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $416.87 / $1,380.38	Professional		$100.00	$416.87	$1,380.38
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $691.83 / $1,202.26	Professional		$123.03	$691.83	$1,202.26
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $426.58 / $575.44	Facility		$95.50	$426.58	$575.44
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $186.21 / $575.44	Professional		$45.71	$186.21	$575.44
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $2,951.21 / $6,760.83	Facility		$575.44	$2,951.21	$6,760.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $380.19 / $870.96	Professional		$97.72	$380.19	$870.96

Pennsylvania rates for HCPCS 50435