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 $724.44 / $4,073.80 / $8,317.64	Facility		$724.44	$4,073.80	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,089.30 / $2,089.30 / $2,089.30	Facility	50	$2,089.30	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $562.34 / $1,047.13	Professional		$426.58	$562.34	$1,047.13
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $588.84 / $1,023.29	Professional		$575.44	$588.84	$1,023.29
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $851.14 / $891.25 / $1,548.82	Professional	50	$851.14	$891.25	$1,548.82
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $575.44 / $912.01	Professional		$389.05	$575.44	$912.01
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $724.44 / $1,000.00	Professional		$724.44	$724.44	$1,000.00
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $616.60 / $977.24	Professional		$457.09	$616.60	$977.24
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,238.72 / $3,311.31 / $5,623.41	Facility		$2,238.72	$3,311.31	$5,623.41
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $3,235.94 / $3,235.94 / $3,235.94	Facility	50	$3,235.94	$3,235.94	$3,235.94
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $549.54 / $724.44	Professional		$457.09	$549.54	$724.44
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $3,630.78 / $7,244.36	Facility		$724.44	$3,630.78	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $575.44 / $1,122.02	Professional		$436.52	$575.44	$1,122.02
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $676.08 / $1,380.38	Professional		$645.65	$676.08	$1,380.38
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $467.74 / $562.34	Facility		$426.58	$467.74	$562.34
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $467.74 / $588.84	Professional		$426.58	$467.74	$588.84
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $3,890.45 / $7,585.78	Facility		$1,659.59	$3,890.45	$7,585.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $562.34 / $954.99	Professional		$407.38	$562.34	$954.99

Pennsylvania rates for HCPCS 67961