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 $109.65 / $537.03 / $8,317.64	Facility		$109.65	$537.03	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $46.77 / $158.49	Professional		$28.18	$46.77	$158.49
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $70.79 / $331.13 / $331.13	Professional	50	$70.79	$331.13	$331.13
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $870.96 / $1,621.81	Facility		$354.81	$870.96	$1,621.81
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $30.20 / $38.02	Professional		$30.20	$30.20	$38.02
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 $28.18 / $29.51 / $102.33	Professional		$28.18	$29.51	$102.33
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $42.66 / $43.65 / $151.36	Professional	50	$42.66	$43.65	$151.36
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $47.86 / $100.00	Professional		$26.92	$47.86	$100.00
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $33.11 / $45.71	Professional		$33.11	$33.11	$45.71
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $45.71 / $70.79	Professional		$28.18	$45.71	$70.79
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $190.55 / $602.56	Facility		$125.89	$190.55	$602.56
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $34.67 / $38.90	Professional		$32.36	$34.67	$38.90
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $794.33 / $1,584.89	Facility		$151.36	$794.33	$1,584.89
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $30.20 / $37.15	Professional		$30.20	$30.20	$37.15
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $1,513.56 / $8,317.64	Facility		$31.62	$1,513.56	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $38.90 / $70.79	Professional		$28.18	$38.90	$70.79
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $213.80 / $229.09	Professional		$70.79	$213.80	$229.09
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.89 / $33.11 / $58.88	Facility		$5.89	$33.11	$58.88
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $29.51 / $46.77	Professional		$14.79	$29.51	$46.77
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $467.74 / $3,890.45	Facility		$213.80	$467.74	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $38.90 / $67.61	Professional		$26.30	$38.90	$67.61

Pennsylvania rates for HCPCS 65205