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 $758.58 / $2,344.23 / $8,317.64	Facility		$758.58	$2,344.23	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,122.02 / $1,122.02 / $2,570.40	Facility	50	$1,122.02	$1,122.02	$2,570.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $173.78 / $562.34	Professional		$114.82	$173.78	$562.34
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $141.25 / $281.84 / $1,148.15	Professional	50	$141.25	$281.84	$1,148.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $123.03 / $213.80	Professional		$61.66	$123.03	$213.80
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $194.98 / $194.98 / $194.98	Professional	50	$194.98	$194.98	$194.98
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $190.55	Professional		$154.88	$154.88	$190.55
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 $141.25 / $162.18 / $263.03	Professional		$141.25	$162.18	$263.03
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $208.93 / $239.88 / $398.11	Professional	50	$208.93	$239.88	$398.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $151.36 / $263.03	Professional		$104.71	$151.36	$263.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $239.88	Professional		$173.78	$173.78	$239.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $147.91 / $239.88	Professional		$112.20	$147.91	$239.88
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $1,174.90 / $1,584.89	Facility		$316.23	$1,174.90	$1,584.89
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,819.70 / $1,819.70 / $2,344.23	Facility	50	$1,819.70	$1,819.70	$2,344.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $177.83 / $229.09	Professional		$162.18	$177.83	$229.09
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $245.47 / $263.03 / $331.13	Professional	50	$245.47	$263.03	$331.13
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $154.88 / $194.98	Professional		$77.62	$154.88	$194.98
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,995.26 / $7,244.36	Facility		$537.03	$1,995.26	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $147.91 / $281.84	Professional		$112.20	$147.91	$281.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $309.03 / $354.81	Professional		$288.40	$309.03	$354.81
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $112.20 / $204.17	Facility		$75.86	$112.20	$204.17
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $131.83 / $338.84	Professional		$75.86	$131.83	$338.84
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $758.58 / $3,890.45	Facility		$363.08	$758.58	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $144.54 / $245.47	Professional		$102.33	$144.54	$245.47

Pennsylvania rates for HCPCS 68761