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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $2,290.87 / $7,762.47	Facility	$169.82	$2,290.87	$7,762.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $100.00 / $467.74	Professional	$64.57	$100.00	$467.74
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Professional	$95.50	$95.50	$95.50
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $3,311.31 / $4,265.80	Facility	$1,949.84	$3,311.31	$4,265.80
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $169.82	Professional	$97.72	$97.72	$169.82
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility	$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $117.49 / $173.78	Professional	$93.33	$117.49	$173.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $107.15 / $169.82	Professional	$74.13	$107.15	$169.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $162.18 / $204.17	Professional	$120.23	$162.18	$204.17
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $107.15 / $165.96	Professional	$67.61	$107.15	$165.96
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.50 / $123.03 / $147.91	Facility	$0.50	$123.03	$147.91
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $117.49 / $165.96	Professional	$85.11	$117.49	$165.96
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $3,019.95 / $4,265.80	Facility	$1,949.84	$3,019.95	$4,265.80
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $169.82	Professional	$97.72	$97.72	$169.82
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,905.46 / $6,606.93	Facility	$537.03	$1,905.46	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $97.72 / $208.93	Professional	$66.07	$97.72	$208.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $194.98 / $218.78	Professional	$128.82	$194.98	$218.78
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $89.13 / $309.03	Facility	$46.77	$89.13	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $72.44 / $309.03	Professional	$37.15	$72.44	$309.03
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 / $100.00 / $162.18	Professional	$64.57	$100.00	$162.18

Pennsylvania rates for HCPCS 64643