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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $53.70 / $91.20	Facility	$19.50	$53.70	$91.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $16.98 / $38.02	Professional	$14.13	$16.98	$38.02
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $125.89 / $5,011.87	Facility	$95.50	$125.89	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $16.60 / $16.60	Professional	$16.60	$16.60	$16.60
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $30.90 / $70.79	Facility	$15.14	$30.90	$70.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $24.55 / $45.71	Professional	$10.96	$24.55	$45.71
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.30 / $30.20	Professional	$10.00	$12.30	$30.20
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $20.89 / $20.89	Facility	$20.89	$20.89	$20.89
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $20.89 / $36.31	Professional	$17.78	$20.89	$36.31
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $47.86 / $72.44	Facility	$16.98	$47.86	$72.44
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $16.98 / $25.12	Professional	$14.13	$16.98	$25.12
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $20.89 / $21.88	Facility	$19.50	$20.89	$21.88
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $21.88 / $104.71	Professional	$10.72	$21.88	$104.71
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.22 / $20.89 / $25.12	Facility	$11.22	$20.89	$25.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $15.14 / $31.62	Professional	$8.91	$15.14	$31.62

Pennsylvania rates for HCPCS 84138