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 $457.09 / $5,370.32 / $8,511.38	Facility	$457.09	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $93.33 / $398.11	Professional	$67.61	$93.33	$398.11
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $162.18	Professional	$91.20	$91.20	$162.18
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,258.93 / $57,543.99	Facility	$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $131.83 / $154.88	Professional	$112.20	$131.83	$154.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $104.71 / $165.96	Professional	$77.62	$104.71	$165.96
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $162.18	Professional	$154.88	$154.88	$162.18
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility	$51.29	$51.29	$51.29
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $114.82 / $169.82	Professional	$77.62	$114.82	$169.82
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $537.03 / $1,412.54	Facility	$363.08	$537.03	$1,412.54
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional	$89.13	$89.13	$89.13
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $104.71	Professional	$91.20	$91.20	$104.71
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $3,981.07 / $8,317.64	Facility	$588.84	$3,981.07	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $100.00 / $208.93	Professional	$70.79	$100.00	$208.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $141.25 / $199.53	Professional	$102.33	$141.25	$199.53
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $97.72 / $112.20	Facility	$72.44	$97.72	$112.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $87.10 / $131.83	Professional	$53.70	$87.10	$131.83
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $676.08 / $3,890.45	Facility	$354.81	$676.08	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $93.33 / $162.18	Professional	$64.57	$93.33	$162.18

Pennsylvania rates for HCPCS 54235