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 $43.65 / $154.88 / $776.25	Facility		$43.65	$154.88	$776.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $30.90 / $89.13	Professional		$13.80	$30.90	$89.13
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $17.78 / $31.62 / $43.65	Professional	25	$17.78	$31.62	$43.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $21.88 / $28.84	Professional		$12.30	$21.88	$28.84
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $1,230.27 / $2,238.72	Facility		$147.91	$1,230.27	$2,238.72
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $22.91 / $25.12	Professional		$19.50	$22.91	$25.12
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $5,011.87 / $77,624.71	Facility		$66.07	$5,011.87	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $20.89 / $36.31	Professional		$15.49	$20.89	$36.31
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $13.18 / $15.49 / $36.31	Professional	50	$13.18	$15.49	$36.31
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $158.49 / $190.55	Facility		$31.62	$158.49	$190.55
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $24.55 / $36.31	Professional		$13.18	$24.55	$36.31
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $19.95 / $23.99	Facility		$19.95	$19.95	$23.99
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $25.12 / $25.12	Professional		$21.88	$25.12	$25.12
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $154.88 / $257.04	Facility		$91.20	$154.88	$257.04
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $1,230.27 / $2,238.72	Facility		$102.33	$1,230.27	$2,238.72
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $22.91 / $23.44	Professional		$22.91	$22.91	$23.44
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $97.72 / $407.38	Facility		$14.45	$97.72	$407.38
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $16.98 / $30.20	Professional		$12.88	$16.98	$30.20
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $22.91 / $25.12	Professional		$21.88	$22.91	$25.12
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $22.91 / $25.12	Professional		$21.88	$22.91	$25.12
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.23 / $13.80 / $27.54	Facility		$10.23	$13.80	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $12.02 / $27.54	Professional		$10.23	$12.02	$27.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $213.80 / $245.47	Facility		$128.82	$213.80	$245.47
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $21.88 / $30.20	Professional		$13.80	$21.88	$30.20

Pennsylvania rates for HCPCS 96372