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 $380.19 / $3,981.07 / $8,709.64	Facility	$380.19	$3,981.07	$8,709.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $457.09 / $1,174.90	Professional	$234.42	$457.09	$1,174.90
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $338.84	Professional	$208.93	$208.93	$338.84
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $562.34 / $707.95 / $14,791.08	Facility	$562.34	$707.95	$14,791.08
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $467.74 / $512.86	Professional	$295.12	$467.74	$512.86
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 $346.74 / $1,047.13 / $1,230.27	Professional	$346.74	$1,047.13	$1,230.27
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $371.54 / $676.08	Professional	$223.87	$371.54	$676.08
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $436.52 / $588.84	Professional	$72.44	$436.52	$588.84
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $489.78 / $741.31	Professional	$239.88	$489.78	$741.31
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,691.53 / $4,466.84 / $7,762.47	Facility	$2,691.53	$4,466.84	$7,762.47
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $389.05 / $645.65	Professional	$288.40	$389.05	$645.65
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $758.58 / $14,791.08	Facility	$549.54	$758.58	$14,791.08
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $323.59 / $467.74	Professional	$295.12	$323.59	$467.74
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $2,187.76 / $8,317.64	Facility	$302.00	$2,187.76	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $389.05 / $707.95	Professional	$223.87	$389.05	$707.95
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,778.28 / $2,238.72 / $6,606.93	Facility	$1,778.28	$2,238.72	$6,606.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $588.84 / $812.83	Professional	$512.86	$588.84	$812.83
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $478.63 / $602.56	Facility	$323.59	$478.63	$602.56
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $389.05 / $602.56	Professional	$223.87	$389.05	$602.56
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 $213.80 / $354.81 / $630.96	Professional	$213.80	$354.81	$630.96

Pennsylvania rates for HCPCS 55250