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 $933.25 / $5,248.07 / $12,882.50	Facility	$933.25	$5,248.07	$12,882.50
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $562.34 / $1,995.26	Professional	$323.59	$562.34	$1,995.26
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Professional	$549.54	$549.54	$549.54
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,715.35 / $5,623.41 / $53,703.18	Facility	$3,715.35	$5,623.41	$53,703.18
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $371.54 / $426.58	Professional	$371.54	$371.54	$426.58
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,511.38 / $10,000.00 / $57,543.99	Facility	$8,511.38	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Professional	$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $549.54 / $870.96	Professional	$288.40	$549.54	$870.96
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $489.78 / $537.03	Professional	$489.78	$489.78	$537.03
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,290.87 / $2,290.87 / $2,290.87	Facility	$2,290.87	$2,290.87	$2,290.87
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $524.81 / $912.01	Professional	$346.74	$524.81	$912.01
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,467.37 / $11,220.18 / $17,378.01	Facility	$3,467.37	$11,220.18	$17,378.01
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,388.44 / $4,677.35 / $21,877.62	Facility	$3,388.44	$4,677.35	$21,877.62
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $371.54 / $426.58	Professional	$371.54	$371.54	$426.58
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $3,630.78 / $10,715.19	Facility	$478.63	$3,630.78	$10,715.19
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $501.19 / $1,023.29	Professional	$316.23	$501.19	$1,023.29
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,897.79 / $8,317.64 / $10,471.29	Facility	$4,897.79	$8,317.64	$10,471.29
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $691.83 / $1,071.52	Professional	$549.54	$691.83	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $346.74 / $467.74 / $575.44	Facility	$346.74	$467.74	$575.44
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $467.74 / $467.74	Professional	$346.74	$467.74	$467.74
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $5,011.87 / $16,218.10	Facility	$2,137.96	$5,011.87	$16,218.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $489.78 / $794.33	Professional	$331.13	$489.78	$794.33

Pennsylvania rates for HCPCS 58561