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 $426.58 / $3,235.94 / $8,317.64	Facility	$426.58	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $338.84 / $794.33	Professional	$138.04	$338.84	$794.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Professional	$131.83	$131.83	$131.83
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $3,890.45 / $38,018.94	Facility	$2,570.40	$3,890.45	$38,018.94
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $5,248.07 / $57,543.99	Facility	$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $213.80	Professional	$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $275.42 / $691.83	Professional	$141.25	$275.42	$691.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $588.84 / $602.56	Professional	$588.84	$588.84	$602.56
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 $151.36 / $478.63 / $776.25	Professional	$151.36	$478.63	$776.25
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,238.72 / $5,011.87 / $9,549.93	Facility	$2,238.72	$5,011.87	$9,549.93
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $295.12 / $295.12	Professional	$288.40	$295.12	$295.12
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $3,019.95 / $10,471.29	Facility	$2,137.96	$3,019.95	$10,471.29
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $1,905.46 / $7,413.10	Facility	$229.09	$1,905.46	$7,413.10
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $354.81 / $870.96	Professional	$141.25	$354.81	$870.96
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $562.34 / $776.25	Professional	$354.81	$562.34	$776.25
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $309.03 / $741.31	Facility	$75.86	$309.03	$741.31
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $363.08 / $407.38	Professional	$75.86	$363.08	$407.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $3,715.35 / $6,760.83	Facility	$1,659.59	$3,715.35	$6,760.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $302.00 / $676.08	Professional	$134.90	$302.00	$676.08

Pennsylvania rates for HCPCS 52204