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 $288.40 / $1,778.28 / $7,244.36	Facility		$288.40	$1,778.28	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $457.09 / $676.08 / $2,570.40	Facility	50	$457.09	$676.08	$2,570.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $123.03 / $467.74	Professional		$58.88	$123.03	$467.74
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $128.82 / $208.93 / $724.44	Professional	50	$128.82	$208.93	$724.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $109.65 / $169.82	Professional		$74.13	$109.65	$169.82
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $165.96 / $165.96 / $218.78	Professional	50	$165.96	$165.96	$218.78
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $794.33 / $7,079.46	Facility		$575.44	$794.33	$7,079.46
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $117.49 / $117.49	Professional		$93.33	$117.49	$117.49
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,570.40 / $57,543.99	Facility		$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $158.49 / $239.88	Professional		$109.65	$158.49	$239.88
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $165.96 / $239.88 / $363.08	Professional	50	$165.96	$239.88	$363.08
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $141.25 / $275.42	Professional		$87.10	$141.25	$275.42
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $190.55	Professional		$138.04	$138.04	$190.55
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $169.82 / $257.04	Professional		$112.20	$169.82	$257.04
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $776.25 / $1,548.82	Facility		$549.54	$776.25	$1,548.82
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $645.65 / $1,258.93 / $3,090.30	Facility	50	$645.65	$1,258.93	$3,090.30
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $138.04 / $177.83	Professional		$128.82	$138.04	$177.83
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $190.55 / $204.17 / $363.08	Professional	50	$190.55	$204.17	$363.08
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $676.08 / $1,698.24	Facility		$416.87	$676.08	$1,698.24
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $93.33 / $123.03	Professional		$58.88	$93.33	$123.03
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $1,819.70 / $6,606.93	Facility		$363.08	$1,819.70	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $120.23 / $229.09	Professional		$87.10	$120.23	$229.09
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $549.54 / $3,890.45	Facility		$537.03	$549.54	$3,890.45
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $436.52 / $457.09	Professional		$147.91	$436.52	$457.09
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $158.49 / $512.86	Facility		$89.13	$158.49	$512.86
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $109.65 / $309.03	Professional		$45.71	$109.65	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $794.33 / $3,890.45	Facility		$363.08	$794.33	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $123.03 / $223.87	Professional		$85.11	$123.03	$223.87
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional	50	$89.13	$89.13	$89.13

Pennsylvania rates for HCPCS 67028