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 $602.56 / $4,073.80 / $8,912.51	Facility		$602.56	$4,073.80	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,905.46 / $8,317.64 / $48,977.88	Facility	50	$1,905.46	$8,317.64	$48,977.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $660.69 / $1,348.96	Professional		$281.84	$660.69	$1,348.96
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $512.86 / $1,071.52 / $2,344.23	Professional	50	$512.86	$1,071.52	$2,344.23
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $3,890.45 / $42,657.95	Facility		$2,570.40	$3,890.45	$42,657.95
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $14,125.38 / $14,125.38 / $57,543.99	Facility		$14,125.38	$14,125.38	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $724.44 / $1,479.11	Professional		$691.83	$724.44	$1,479.11
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $1,047.13 / $1,071.52 / $2,187.76	Professional	50	$1,047.13	$1,071.52	$2,187.76
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $630.96 / $1,548.82	Professional		$309.03	$630.96	$1,548.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,230.27 / $1,548.82	Professional		$891.25	$1,230.27	$1,548.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $1,000.00 / $1,737.80	Professional		$562.34	$1,000.00	$1,737.80
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,715.35 / $12,882.50 / $39,810.72	Facility		$3,715.35	$12,882.50	$39,810.72
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,754.23 / $20,417.38 / $72,443.60	Facility	50	$2,754.23	$20,417.38	$72,443.60
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,398.83 / $3,311.31 / $15,135.61	Facility		$2,398.83	$3,311.31	$15,135.61
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $512.86 / $1,737.80 / $7,244.36	Facility		$512.86	$1,737.80	$7,244.36
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $38,018.94 / $38,018.94 / $38,018.94	Facility	50	$38,018.94	$38,018.94	$38,018.94
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $707.95 / $1,659.59	Professional		$295.12	$707.95	$1,659.59
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $1,122.02 / $1,737.80	Professional		$954.99	$1,122.02	$1,737.80
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $354.81 / $1,288.25	Facility		$295.12	$354.81	$1,288.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $354.81 / $724.44	Professional		$288.40	$354.81	$724.44
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,019.95 / $6,309.57 / $21,379.62	Facility		$3,019.95	$6,309.57	$21,379.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $630.96 / $1,412.54	Professional		$295.12	$630.96	$1,412.54

Pennsylvania rates for HCPCS 64561