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 $776.25 / $2,398.83 / $7,762.47	Facility		$776.25	$2,398.83	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,137.96 / $3,311.31 / $3,890.45	Facility	50	$2,137.96	$3,311.31	$3,890.45
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $851.14 / $2,041.74	Professional		$316.23	$851.14	$2,041.74
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $602.56 / $933.25 / $9,549.93	Professional	50	$602.56	$933.25	$9,549.93
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $281.84 / $331.13	Professional		$208.93	$281.84	$331.13
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $891.25 / $10,471.29	Facility		$676.08	$891.25	$10,471.29
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $331.13 / $346.74	Professional		$309.03	$331.13	$346.74
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 $331.13 / $457.09 / $1,122.02	Professional		$331.13	$457.09	$1,122.02
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $501.19 / $741.31 / $1,698.24	Professional	50	$501.19	$741.31	$1,698.24
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 $263.03 / $478.63 / $1,318.26	Professional		$263.03	$478.63	$1,318.26
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $575.44 / $870.96	Professional		$190.55	$575.44	$870.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $831.76 / $1,479.11	Professional		$338.84	$831.76	$1,479.11
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,148.15 / $1,288.25 / $3,162.28	Facility		$1,148.15	$1,288.25	$3,162.28
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $0.50 / $1,174.90 / $3,801.89	Facility	50	$0.50	$1,174.90	$3,801.89
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $407.38 / $954.99	Professional		$371.54	$407.38	$954.99
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $549.54 / $758.58 / $15,488.17	Professional	50	$549.54	$758.58	$15,488.17
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $691.83 / $1,698.24	Facility		$524.81	$691.83	$1,698.24
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $346.74 / $346.74	Professional		$309.03	$346.74	$346.74
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $1,819.70 / $6,606.93	Facility		$588.84	$1,819.70	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $407.38 / $1,230.27	Professional		$295.12	$407.38	$1,230.27
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $891.25 / $2,238.72	Facility		$371.54	$891.25	$2,238.72
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $1,096.48 / $2,041.74	Professional		$870.96	$1,096.48	$2,041.74
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $288.40 / $1,000.00	Facility		$190.55	$288.40	$1,000.00
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $288.40 / $891.25	Professional		$190.55	$288.40	$891.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $1,318.26 / $3,890.45	Facility		$549.54	$1,318.26	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $407.38 / $1,096.48	Professional		$275.42	$407.38	$1,096.48

Pennsylvania rates for HCPCS 67228