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 $72.44 / $549.54 / $7,762.47	Facility		$72.44	$549.54	$7,762.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $70.79 / $169.82	Professional		$50.12	$70.79	$169.82
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $645.65 / $1,202.26	Facility		$263.03	$645.65	$1,202.26
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $87.10	Professional		$70.79	$70.79	$87.10
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 $66.07 / $75.86 / $154.88	Professional		$66.07	$75.86	$154.88
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $100.00 / $120.23 / $234.42	Professional	50	$100.00	$120.23	$234.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $70.79 / $134.90	Professional		$47.86	$70.79	$134.90
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $112.20	Professional		$81.28	$81.28	$112.20
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $70.79 / $112.20	Professional		$56.23	$70.79	$112.20
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $407.38 / $630.96	Facility		$263.03	$407.38	$630.96
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $83.18 / $87.10	Professional		$77.62	$83.18	$87.10
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Professional	50	$123.03	$123.03	$123.03
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $588.84 / $1,023.29	Facility		$144.54	$588.84	$1,023.29
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $75.86	Professional		$70.79	$70.79	$75.86
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $1,288.25 / $8,317.64	Facility		$61.66	$1,288.25	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $66.07 / $114.82	Professional		$48.98	$66.07	$114.82
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $173.78 / $245.47	Professional		$97.72	$173.78	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $64.57 / $79.43	Facility		$47.86	$64.57	$79.43
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $64.57 / $154.88	Professional		$25.12	$64.57	$154.88
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 $46.77 / $67.61 / $112.20	Professional		$46.77	$67.61	$112.20

Pennsylvania rates for HCPCS 65222