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 $831.76 / $2,691.53 / $8,317.64	Facility	$831.76	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $158.49 / $398.11	Professional	$128.82	$158.49	$398.11
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $6,165.95 / $57,543.99	Facility	$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $223.87 / $281.84	Professional	$213.80	$223.87	$281.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $186.21 / $281.84	Professional	$141.25	$186.21	$281.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $234.42	Professional	$218.78	$218.78	$234.42
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 $144.54 / $194.98 / $302.00	Professional	$144.54	$194.98	$302.00
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $9,549.93 / $9,549.93 / $9,549.93	Facility	$9,549.93	$9,549.93	$9,549.93
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $1,995.26 / $7,244.36	Facility	$588.84	$1,995.26	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $158.49 / $794.33	Professional	$128.82	$158.49	$794.33
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $288.40 / $398.11	Professional	$223.87	$288.40	$398.11
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $177.83 / $346.74	Facility	$75.86	$177.83	$346.74
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $309.03 / $407.38	Professional	$69.18	$309.03	$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 $128.82 / $177.83 / $316.23	Professional	$128.82	$177.83	$316.23

Pennsylvania rates for HCPCS 53000