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 $316.23 / $3,630.78 / $8,317.64	Facility	$316.23	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $316.23 / $831.76	Professional	$151.36	$316.23	$831.76
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $208.93 / $457.09	Professional	$131.83	$208.93	$457.09
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $3,890.45 / $30,199.52	Facility	$2,570.40	$3,890.45	$30,199.52
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $281.84	Professional	$194.98	$194.98	$281.84
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 $229.09 / $537.03 / $630.96	Professional	$229.09	$537.03	$630.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $275.42 / $478.63	Professional	$151.36	$275.42	$478.63
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $234.42 / $512.86	Professional	$95.50	$234.42	$512.86
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $363.08 / $524.81	Professional	$162.18	$363.08	$524.81
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $4,265.80 / $7,413.10	Facility	$2,344.23	$4,265.80	$7,413.10
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $316.23 / $323.59	Professional	$204.17	$316.23	$323.59
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $3,019.95 / $10,715.19	Facility	$2,137.96	$3,019.95	$10,715.19
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $223.87	Professional	$194.98	$194.98	$223.87
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $1,584.89 / $6,165.95	Facility	$199.53	$1,584.89	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $288.40 / $602.56	Professional	$151.36	$288.40	$602.56
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,288.25 / $3,090.30 / $6,606.93	Facility	$1,288.25	$3,090.30	$6,606.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $575.44 / $691.83	Professional	$436.52	$575.44	$691.83
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $309.03 / $407.38	Facility	$128.82	$309.03	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $309.03 / $407.38	Professional	$128.82	$309.03	$407.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $3,235.94 / $6,760.83	Facility	$1,000.00	$3,235.94	$6,760.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $257.04 / $457.09	Professional	$147.91	$257.04	$457.09

Pennsylvania rates for HCPCS 52310