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 $50.12 / $346.74 / $5,370.32	Facility		$50.12	$346.74	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $56.23 / $363.08 / $4,265.80	Facility	50	$56.23	$363.08	$4,265.80
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Facility	52	$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $58.88 / $138.04	Professional		$30.20	$58.88	$138.04
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $52.48 / $93.33 / $275.42	Professional	50	$52.48	$93.33	$275.42
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $31.62 / $42.66 / $151.36	Professional	52	$31.62	$42.66	$151.36
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $70.79 / $87.10	Professional		$37.15	$70.79	$87.10
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $54.95 / $70.79 / $109.65	Professional	50	$54.95	$70.79	$109.65
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,248.07 / $12,882.50 / $20,417.38	Facility		$5,248.07	$12,882.50	$20,417.38
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $48.98 / $56.23	Professional		$24.55	$48.98	$56.23
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $48.98 / $107.15	Professional		$47.86	$48.98	$107.15
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $46.77 / $70.79 / $138.04	Professional	50	$46.77	$70.79	$138.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $53.70 / $93.33	Professional		$33.88	$53.70	$93.33
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $77.62 / $81.28	Professional		$77.62	$77.62	$81.28
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $60.26 / $85.11	Professional		$36.31	$60.26	$85.11
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $169.82 / $346.74	Facility		$63.10	$169.82	$346.74
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $41.69 / $144.54 / $275.42	Facility	50	$41.69	$144.54	$275.42
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $61.66	Professional		$60.26	$60.26	$61.66
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $48.98 / $48.98 / $54.95	Professional	50	$48.98	$48.98	$54.95
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $9,549.93 / $17,782.79	Facility		$79.43	$9,549.93	$17,782.79
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $48.98 / $56.23	Professional		$24.55	$48.98	$56.23
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $794.33 / $5,754.40	Facility		$39.81	$794.33	$5,754.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $48.98 / $100.00	Professional		$29.51	$48.98	$100.00
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $79.43 / $104.71	Professional		$74.13	$79.43	$104.71
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.71 / $45.71 / $54.95	Facility		$8.71	$45.71	$54.95
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $30.90 / $54.95	Professional		$8.71	$30.90	$54.95
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $436.52 / $3,890.45	Facility		$125.89	$436.52	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $45.71 / $79.43	Professional		$28.84	$45.71	$79.43

Pennsylvania rates for HCPCS 69210