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 $100.00 / $1,995.26 / $7,244.36	Facility		$100.00	$1,995.26	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,122.02 / $3,235.94 / $3,388.44	Facility	50	$1,122.02	$3,235.94	$3,388.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $57.54 / $177.83	Professional		$32.36	$57.54	$177.83
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $60.26 / $102.33 / $281.84	Professional	50	$60.26	$102.33	$281.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $48.98 / $77.62	Professional		$46.77	$48.98	$77.62
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $39.81 / $50.12	Professional		$25.12	$39.81	$50.12
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 $48.98 / $51.29 / $87.10	Professional		$48.98	$51.29	$87.10
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $74.13 / $75.86 / $128.82	Professional	50	$74.13	$75.86	$128.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $53.70 / $89.13	Professional		$36.31	$53.70	$89.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $81.28 / $102.33	Professional		$58.88	$81.28	$102.33
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $54.95 / $87.10	Professional		$36.31	$54.95	$87.10
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $691.83 / $1,348.96	Facility		$190.55	$691.83	$1,348.96
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $707.95 / $707.95 / $707.95	Facility	50	$707.95	$707.95	$707.95
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $54.95 / $61.66	Professional		$51.29	$54.95	$61.66
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $83.18 / $83.18 / $91.20	Professional	50	$83.18	$83.18	$91.20
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $39.81 / $50.12	Professional		$25.12	$39.81	$50.12
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $1,778.28 / $6,606.93	Facility		$100.00	$1,778.28	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $50.12 / $91.20	Professional		$32.36	$50.12	$91.20
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $74.13 / $104.71	Professional		$57.54	$74.13	$104.71
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $46.77 / $173.78	Facility		$12.02	$46.77	$173.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $46.77 / $173.78	Professional		$12.02	$46.77	$173.78
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 $32.36 / $52.48 / $85.11	Professional		$32.36	$52.48	$85.11

Pennsylvania rates for HCPCS 64455