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 $190.55 / $1,584.89 / $5,370.32	Facility		$190.55	$1,584.89	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $194.98 / $2,398.83 / $4,265.80	Facility	50	$194.98	$2,398.83	$4,265.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $194.98 / $602.56	Professional		$63.10	$194.98	$602.56
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $147.91 / $218.78 / $575.44	Professional	50	$147.91	$218.78	$575.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $229.09 / $234.42	Professional		$56.23	$229.09	$234.42
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $93.33 / $93.33 / $371.54	Professional	50	$93.33	$93.33	$371.54
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $1,905.46 / $8,912.51	Facility		$1,380.38	$1,905.46	$8,912.51
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 $239.88 / $281.84 / $398.11	Professional		$239.88	$281.84	$398.11
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $363.08 / $436.52 / $588.84	Professional	50	$363.08	$436.52	$588.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $154.88 / $398.11	Professional		$72.44	$154.88	$398.11
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $457.09 / $776.25	Professional		$316.23	$457.09	$776.25
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $263.03 / $426.58	Professional		$74.13	$263.03	$426.58
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $1,000.00 / $2,570.40	Facility		$524.81	$1,000.00	$2,570.40
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $891.25 / $891.25 / $1,230.27	Facility	50	$891.25	$891.25	$1,230.27
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $67.61 / $173.78	Professional		$66.07	$67.61	$173.78
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,148.15 / $1,659.59 / $8,511.38	Facility		$1,148.15	$1,659.59	$8,511.38
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $1,230.27 / $5,754.40	Facility		$85.11	$1,230.27	$5,754.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $194.98 / $416.87	Professional		$63.10	$194.98	$416.87
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,445.44 / $1,819.70 / $6,606.93	Facility		$1,445.44	$1,819.70	$6,606.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $363.08 / $512.86	Professional		$218.78	$363.08	$512.86
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $245.47 / $338.84	Facility		$64.57	$245.47	$338.84
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $245.47 / $338.84	Professional		$51.29	$245.47	$338.84
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 $64.57 / $154.88 / $331.13	Professional		$64.57	$154.88	$331.13

Pennsylvania rates for HCPCS 64634