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 $162.18 / $2,344.23 / $7,244.36	Facility		$162.18	$2,344.23	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,698.24 / $2,884.03 / $3,981.07	Facility	50	$1,698.24	$2,884.03	$3,981.07
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $112.20 / $295.12	Professional		$52.48	$112.20	$295.12
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $162.18 / $204.17 / $707.95	Professional	50	$162.18	$204.17	$707.95
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $112.20 / $117.49	Professional		$47.86	$112.20	$117.49
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 $107.15 / $144.54 / $239.88	Professional		$107.15	$144.54	$239.88
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $158.49 / $223.87 / $363.08	Professional	50	$158.49	$223.87	$363.08
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $123.03 / $213.80	Professional		$60.26	$123.03	$213.80
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $199.53 / $251.19	Professional		$144.54	$199.53	$251.19
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $147.91 / $223.87	Professional		$114.82	$147.91	$223.87
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $851.14 / $1,949.84 / $3,981.07	Facility		$851.14	$1,949.84	$3,981.07
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $3,548.13 / $3,548.13 / $6,025.60	Facility	50	$3,548.13	$3,548.13	$6,025.60
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $1,584.89 / $6,165.95	Facility		$125.89	$1,584.89	$6,165.95
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $3,981.07 / $3,981.07 / $3,981.07	Facility	50	$3,981.07	$3,981.07	$3,981.07
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $114.82 / $263.03	Professional		$53.70	$114.82	$263.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $204.17 / $281.84	Professional		$30.20	$204.17	$281.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $107.15 / $147.91	Facility		$53.70	$107.15	$147.91
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $104.71 / $114.82	Professional		$33.11	$104.71	$114.82
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $1,584.89 / $3,890.45	Facility		$575.44	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $109.65 / $194.98	Professional		$54.95	$109.65	$194.98

Pennsylvania rates for HCPCS 64425