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 $93.33 / $1,288.25 / $4,265.80	Facility		$93.33	$1,288.25	$4,265.80
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $616.60 / $1,380.38 / $3,388.44	Facility	50	$616.60	$1,380.38	$3,388.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $93.33 / $331.13	Professional		$48.98	$93.33	$331.13
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $72.44 / $147.91 / $489.78	Professional	50	$72.44	$147.91	$489.78
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $77.62 / $93.33	Professional		$42.66	$77.62	$93.33
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $60.26 / $125.89 / $134.90	Professional	50	$60.26	$125.89	$134.90
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $95.50 / $125.89	Professional		$53.70	$95.50	$125.89
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 $89.13 / $131.83 / $173.78	Professional		$89.13	$131.83	$173.78
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $134.90 / $194.98 / $257.04	Professional	50	$134.90	$194.98	$257.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $89.13 / $154.88	Professional		$54.95	$89.13	$154.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $162.18 / $954.99	Professional		$114.82	$162.18	$954.99
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $114.82 / $158.49	Professional		$79.43	$114.82	$158.49
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $562.34 / $1,949.84	Facility		$229.09	$562.34	$1,949.84
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $181.97 / $870.96 / $3,019.95	Facility	50	$181.97	$870.96	$3,019.95
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $91.20 / $91.20	Professional		$50.12	$91.20	$91.20
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $70.79 / $138.04 / $169.82	Professional	50	$70.79	$138.04	$169.82
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,511.38 / $9,332.54 / $9,332.54	Facility		$8,511.38	$9,332.54	$9,332.54
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $95.50 / $104.71	Professional		$53.70	$95.50	$104.71
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $831.76 / $5,754.40	Facility		$60.26	$831.76	$5,754.40
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $512.86 / $512.86 / $977.24	Facility	50	$512.86	$512.86	$977.24
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $87.10 / $181.97	Professional		$48.98	$87.10	$181.97
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,071.52 / $1,348.96 / $9,772.37	Facility		$1,071.52	$1,348.96	$9,772.37
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $144.54 / $199.53	Professional		$100.00	$144.54	$199.53
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $57.54 / $218.78	Facility		$43.65	$57.54	$218.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $74.13 / $218.78	Professional		$22.39	$74.13	$218.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $630.96 / $4,466.84	Facility		$162.18	$630.96	$4,466.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $85.11 / $154.88	Professional		$47.86	$85.11	$154.88

Pennsylvania rates for HCPCS 64494