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 $138.04 / $1,584.89 / $7,244.36	Facility	$138.04	$1,584.89	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $186.21 / $537.03	Professional	$100.00	$186.21	$537.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $234.42 / $281.84	Professional	$190.55	$234.42	$281.84
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $85.11 / $158.49	Professional	$79.43	$85.11	$158.49
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,570.40 / $57,543.99	Facility	$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $204.17 / $263.03	Professional	$147.91	$204.17	$263.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $158.49 / $245.47	Professional	$109.65	$158.49	$245.47
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $257.04	Professional	$245.47	$245.47	$257.04
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Facility	$79.43	$79.43	$79.43
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $181.97 / $269.15	Professional	$114.82	$181.97	$269.15
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $1,230.27 / $1,905.46	Facility	$426.58	$1,230.27	$1,905.46
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $158.49	Professional	$79.43	$79.43	$158.49
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $1,584.89 / $6,165.95	Facility	$138.04	$1,584.89	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $151.36 / $295.12	Professional	$91.20	$151.36	$295.12
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $245.47 / $309.03	Professional	$173.78	$245.47	$309.03
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $123.03 / $173.78	Facility	$31.62	$123.03	$173.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $123.03 / $213.80	Professional	$69.18	$123.03	$213.80
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 $102.33 / $147.91 / $245.47	Professional	$102.33	$147.91	$245.47

Pennsylvania rates for HCPCS 57456