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 $213.80 / $1,819.70 / $8,317.64	Facility	$213.80	$1,819.70	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $251.19 / $691.83	Professional	$134.90	$251.19	$691.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $229.09 / $309.03	Professional	$162.18	$229.09	$309.03
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $794.33 / $15,848.93	Facility	$575.44	$794.33	$15,848.93
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $177.83 / $199.53	Professional	$89.13	$177.83	$199.53
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 $204.17 / $275.42 / $275.42	Professional	$204.17	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $186.21 / $275.42	Professional	$134.90	$186.21	$275.42
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $281.84	Professional	$269.15	$269.15	$281.84
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $204.17 / $316.23	Professional	$151.36	$204.17	$316.23
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $741.31 / $1,445.44	Facility	$416.87	$741.31	$1,445.44
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Professional	$281.84	$281.84	$281.84
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $676.08 / $1,698.24	Facility	$416.87	$676.08	$1,698.24
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $177.83 / $199.53	Professional	$177.83	$177.83	$199.53
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $1,479.11 / $6,165.95	Facility	$151.36	$1,479.11	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $173.78 / $338.84	Professional	$120.23	$173.78	$338.84
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $478.63	Facility	$478.63	$478.63	$478.63
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $251.19 / $346.74	Professional	$141.25	$251.19	$346.74
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $128.82 / $173.78	Facility	$74.13	$128.82	$173.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $165.96 / $407.38	Professional	$74.13	$165.96	$407.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $724.44 / $3,890.45	Facility	$363.08	$724.44	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $173.78 / $288.40	Professional	$125.89	$173.78	$288.40

Pennsylvania rates for HCPCS 57454