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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $1,122.02 / $6,760.83	Facility		$93.33	$1,122.02	$6,760.83
Aetna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $114.82 / $114.82 / $776.25	Facility	53	$114.82	$114.82	$776.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $144.54 / $416.87	Professional		$77.62	$144.54	$416.87
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $60.26 / $134.90 / $389.05	Professional	52	$60.26	$134.90	$389.05
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $24.55 / $43.65 / $102.33	Professional	53	$24.55	$43.65	$102.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $134.90 / $151.36	Professional		$107.15	$134.90	$151.36
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $31.62 / $31.62 / $31.62	Professional	52	$31.62	$31.62	$31.62
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $794.33 / $18,197.01	Facility		$575.44	$794.33	$18,197.01
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $57.54 / $107.15	Professional		$53.70	$57.54	$107.15
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 $97.72 / $169.82 / $251.19	Professional		$97.72	$169.82	$251.19
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $117.49 / $186.21	Professional		$70.79	$117.49	$186.21
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $169.82	Professional		$158.49	$158.49	$169.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $131.83 / $208.93	Professional		$93.33	$131.83	$208.93
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $407.38 / $812.83 / $1,122.02	Facility		$407.38	$812.83	$1,122.02
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Facility	52	$104.71	$104.71	$104.71
Highmark BCBS Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $524.81 / $524.81 / $575.44	Facility	53	$524.81	$524.81	$575.44
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $676.08 / $4,897.79	Facility		$275.42	$676.08	$4,897.79
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $107.15 / $123.03	Professional		$53.70	$107.15	$123.03
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $1,047.13 / $5,754.40	Facility		$87.10	$1,047.13	$5,754.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $107.15 / $208.93	Professional		$60.26	$107.15	$208.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $169.82 / $234.42	Professional		$102.33	$169.82	$234.42
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $102.33 / $190.55	Facility		$46.77	$102.33	$190.55
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $95.50 / $190.55	Professional		$11.48	$95.50	$190.55
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $616.60 / $3,890.45	Facility		$316.23	$616.60	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $107.15 / $165.96	Professional		$67.61	$107.15	$165.96

Pennsylvania rates for HCPCS 58100