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 $812.83 / $4,365.16 / $9,549.93	Facility	$812.83	$4,365.16	$9,549.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $537.03 / $1,258.93	Professional	$416.87	$537.03	$1,258.93
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 $416.87 / $602.56 / $891.25	Professional	$416.87	$602.56	$891.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $575.44 / $912.01	Professional	$218.78	$575.44	$912.01
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $645.65 / $691.83	Professional	$645.65	$645.65	$691.83
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $1,737.80 / $1,737.80	Facility	$1,737.80	$1,737.80	$1,737.80
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $602.56 / $912.01	Professional	$457.09	$602.56	$912.01
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $7,413.10 / $20,417.38	Facility	$2,344.23	$7,413.10	$20,417.38
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $660.69 / $660.69	Professional	$660.69	$660.69	$660.69
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $2,630.27 / $8,709.64	Facility	$724.44	$2,630.27	$8,709.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $575.44 / $1,174.90	Professional	$416.87	$575.44	$1,174.90
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $707.95 / $1,000.00	Professional	$616.60	$707.95	$1,000.00
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $407.38 / $407.38 / $588.84	Facility	$407.38	$407.38	$588.84
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $436.52 / $588.84	Professional	$407.38	$436.52	$588.84
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $3,981.07 / $11,220.18	Facility	$1,659.59	$3,981.07	$11,220.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $562.34 / $954.99	Professional	$398.11	$562.34	$954.99

Pennsylvania rates for HCPCS 52318