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 $9.33 / $16.98 / $33.88	Facility		$9.33	$16.98	$33.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $12.02 / $43.65	Professional		$8.91	$12.02	$43.65
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $9.77 / $25.70 / $32.36	Professional	CQ	$9.77	$25.70	$32.36
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $6.46 / $19.95	Professional		$6.46	$6.46	$19.95
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 $13.18 / $15.49 / $26.92	Professional		$13.18	$15.49	$26.92
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $64.57 / $125.89	Facility		$26.92	$64.57	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $14.45 / $26.30	Professional		$8.51	$14.45	$26.30
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $22.91 / $34.67	Professional		$22.91	$22.91	$34.67
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $16.60 / $30.90	Professional		$13.80	$16.60	$30.90
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.17 / $6.17 / $27.54	Facility		$6.17	$6.17	$27.54
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $12.02 / $12.59	Professional		$8.91	$12.02	$12.59
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $6.46 / $8.71	Professional		$6.46	$6.46	$8.71
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $14.79 / $22.91	Facility		$9.33	$14.79	$22.91
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $10.96 / $23.99	Professional		$8.91	$10.96	$23.99
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $95.50 / $177.83	Facility		$89.13	$95.50	$177.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $30.20 / $72.44	Professional		$23.99	$30.20	$72.44
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.61 / $14.13 / $15.49	Facility		$6.61	$14.13	$15.49
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $14.13 / $19.50	Professional		$7.41	$14.13	$19.50
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $15.85 / $15.85	Facility		$14.45	$15.85	$15.85
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $15.14 / $33.11	Professional		$12.30	$15.14	$33.11

Pennsylvania rates for HCPCS 97012