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 $141.25 / $1,905.46 / $7,244.36	Facility		$141.25	$1,905.46	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $741.31 / $2,137.96 / $4,677.35	Facility	50	$741.31	$2,137.96	$4,677.35
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $134.90 / $398.11	Professional		$97.72	$134.90	$398.11
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $162.18 / $331.13 / $851.14	Professional	50	$162.18	$331.13	$851.14
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Professional	50	$190.55	$190.55	$190.55
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,454.71 / $3,467.37 / $7,079.46	Facility		$2,454.71	$3,467.37	$7,079.46
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $144.54	Professional		$72.44	$72.44	$144.54
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 $138.04 / $186.21 / $239.88	Professional		$138.04	$186.21	$239.88
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $204.17 / $281.84 / $354.81	Professional	50	$204.17	$281.84	$354.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $154.88 / $251.19	Professional		$114.82	$154.88	$251.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $234.42 / $295.12	Professional		$173.78	$234.42	$295.12
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $151.36 / $239.88	Professional		$91.20	$151.36	$239.88
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $851.14 / $1,949.84	Facility		$446.68	$851.14	$1,949.84
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $954.99 / $1,778.28 / $2,570.40	Facility	50	$954.99	$1,778.28	$2,570.40
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $177.83 / $316.23	Professional		$173.78	$177.83	$316.23
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $239.88 / $269.15 / $295.12	Professional	50	$239.88	$269.15	$295.12
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $3,019.95 / $4,265.80	Facility		$416.87	$3,019.95	$4,265.80
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $123.03 / $154.88	Professional		$72.44	$123.03	$154.88
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $1,584.89 / $6,165.95	Facility		$123.03	$1,584.89	$6,165.95
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $891.25 / $891.25 / $891.25	Facility	50	$891.25	$891.25	$891.25
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $147.91 / $295.12	Professional		$102.33	$147.91	$295.12
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $194.98 / $302.00	Professional		$173.78	$194.98	$302.00
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $131.83 / $309.03	Facility		$104.71	$131.83	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $134.90 / $407.38	Professional		$102.33	$134.90	$407.38
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 $95.50 / $147.91 / $239.88	Professional		$95.50	$147.91	$239.88
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional	50	$79.43	$79.43	$79.43

Pennsylvania rates for HCPCS 64616