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 $758.58 / $912.01 / $977.24	Facility	$758.58	$912.01	$977.24
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $1,318.26 / $3,235.94	Professional	$676.08	$1,318.26	$3,235.94
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,513.56 / $1,584.89 / $1,995.26	Professional	$1,513.56	$1,584.89	$1,995.26
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,071.52 / $1,071.52 / $1,230.27	Professional	$1,071.52	$1,071.52	$1,230.27
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility	$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,288.25 / $1,737.80	Professional	$912.01	$1,288.25	$1,737.80
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $1,023.29 / $1,584.89	Professional	$707.95	$1,023.29	$1,584.89
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $1,000.00 / $1,862.09	Professional	$851.14	$1,000.00	$1,862.09
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $1,202.26 / $1,778.28	Professional	$616.60	$1,202.26	$1,778.28
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,071.52 / $1,071.52 / $1,230.27	Professional	$1,071.52	$1,071.52	$1,230.27
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $758.58 / $977.24	Facility	$758.58	$758.58	$977.24
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $977.24 / $1,698.24	Professional	$660.69	$977.24	$1,698.24
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,479.11 / $1,995.26	Professional	$1,000.00	$1,479.11	$1,995.26
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $616.60 / $1,000.00	Facility	$11.75	$616.60	$1,000.00
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $741.31 / $1,000.00	Professional	$11.75	$741.31	$1,000.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $1,621.81 / $6,309.57	Facility	$724.44	$1,621.81	$6,309.57
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $851.14 / $1,412.54	Professional	$588.84	$851.14	$1,412.54

Pennsylvania rates for HCPCS 59426