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 $67.61 / $1,412.54 / $7,244.36	Facility		$67.61	$1,412.54	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $331.13 / $1,348.96 / $2,570.40	Facility	50	$331.13	$1,348.96	$2,570.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $93.33 / $275.42	Professional		$51.29	$93.33	$275.42
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $104.71 / $177.83 / $501.19	Professional	50	$104.71	$177.83	$501.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $38.02 / $147.91	Professional		$38.02	$38.02	$147.91
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $57.54 / $104.71 / $107.15	Professional	50	$57.54	$104.71	$107.15
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 $74.13 / $107.15 / $190.55	Professional		$74.13	$107.15	$190.55
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $112.20 / $162.18 / $281.84	Professional	50	$112.20	$162.18	$281.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $95.50 / $173.78	Professional		$57.54	$95.50	$173.78
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $125.89 / $162.18	Professional		$93.33	$125.89	$162.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $107.15 / $165.96	Professional		$75.86	$107.15	$165.96
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $331.13 / $724.44 / $1,380.38	Facility		$331.13	$724.44	$1,380.38
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $457.09 / $1,174.90 / $2,041.74	Facility	50	$457.09	$1,174.90	$2,041.74
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $83.18 / $114.82	Professional		$77.62	$83.18	$114.82
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $125.89 / $131.83 / $177.83	Professional	50	$125.89	$131.83	$177.83
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $1,288.25 / $5,754.40	Facility		$63.10	$1,288.25	$5,754.40
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,818.38 / $2,818.38 / $2,818.38	Facility	50	$2,818.38	$2,818.38	$2,818.38
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $89.13 / $173.78	Professional		$52.48	$89.13	$173.78
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $165.96 / $218.78	Professional		$117.49	$165.96	$218.78
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $72.44 / $186.21	Facility		$51.29	$72.44	$186.21
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $64.57 / $186.21	Professional		$17.38	$64.57	$186.21
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $741.31 / $3,890.45	Facility		$363.08	$741.31	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $81.28 / $141.25	Professional		$50.12	$81.28	$141.25

Pennsylvania rates for HCPCS 64405