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 $109.65 / $1,513.56 / $6,165.95	Facility	$109.65	$1,513.56	$6,165.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $138.04 / $380.19	Professional	$64.57	$138.04	$380.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $158.49 / $213.80	Professional	$102.33	$158.49	$213.80
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $1,905.46 / $19,952.62	Facility	$1,380.38	$1,905.46	$19,952.62
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $114.82 / $120.23	Professional	$69.18	$114.82	$120.23
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 $102.33 / $107.15 / $107.15	Professional	$102.33	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $114.82 / $186.21	Professional	$70.79	$114.82	$186.21
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $181.97 / $190.55	Professional	$181.97	$181.97	$190.55
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Facility	$63.10	$63.10	$63.10
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $134.90 / $199.53	Professional	$75.86	$134.90	$199.53
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $831.76 / $2,754.23	Facility	$416.87	$831.76	$2,754.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $154.88 / $194.98	Professional	$77.62	$154.88	$194.98
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $1,621.81 / $5,370.32	Facility	$416.87	$1,621.81	$5,370.32
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $114.82 / $128.82	Professional	$69.18	$114.82	$128.82
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $794.33 / $5,623.41	Facility	$77.62	$794.33	$5,623.41
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $102.33 / $208.93	Professional	$60.26	$102.33	$208.93
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $1,023.29 / $1,023.29	Facility	$1,023.29	$1,023.29	$1,023.29
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $165.96 / $218.78	Professional	$125.89	$165.96	$218.78
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $70.79 / $107.15	Facility	$64.57	$70.79	$107.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $67.61 / $107.15	Professional	$53.70	$67.61	$107.15
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 $69.18 / $102.33 / $165.96	Professional	$69.18	$102.33	$165.96

Pennsylvania rates for HCPCS 58301