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 $87.10 / $2,344.23 / $7,244.36	Facility	$87.10	$2,344.23	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $112.20 / $309.03	Professional	$54.95	$112.20	$309.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $138.04 / $173.78	Professional	$85.11	$138.04	$173.78
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $114.82	Professional	$100.00	$100.00	$114.82
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,398.83 / $57,543.99	Facility	$2,344.23	$2,398.83	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $131.83 / $190.55	Professional	$91.20	$131.83	$190.55
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $100.00 / $165.96	Professional	$63.10	$100.00	$165.96
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $162.18	Professional	$151.36	$151.36	$162.18
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Facility	$52.48	$52.48	$52.48
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $114.82 / $165.96	Professional	$67.61	$114.82	$165.96
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,096.48 / $2,691.53 / $4,073.80	Facility	$1,096.48	$2,691.53	$4,073.80
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Professional	$158.49	$158.49	$158.49
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $114.82	Professional	$100.00	$100.00	$114.82
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $1,412.54 / $6,165.95	Facility	$79.43	$1,412.54	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $91.20 / $186.21	Professional	$53.70	$91.20	$186.21
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $141.25 / $186.21	Professional	$125.89	$141.25	$186.21
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $93.33 / $309.03	Facility	$31.62	$93.33	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $93.33 / $309.03	Professional	$46.77	$93.33	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $1,949.84 / $3,890.45	Facility	$549.54	$1,949.84	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $91.20 / $151.36	Professional	$61.66	$91.20	$151.36

Pennsylvania rates for HCPCS 56605