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 $9.12 / $16.98 / $36.31	Facility		$9.12	$16.98	$36.31
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $7.94 / $50.12 / $165.96	Facility	CQ	$7.94	$50.12	$165.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $11.48 / $51.29	Professional		$7.94	$11.48	$51.29
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $6.31 / $11.75 / $19.05	Professional	CQ	$6.31	$11.75	$19.05
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $6.31 / $16.60	Professional		$6.31	$6.31	$16.60
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 $12.59 / $12.88 / $24.55	Professional		$12.59	$12.88	$24.55
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $75.86 / $125.89	Facility		$21.38	$75.86	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $14.13 / $23.99	Professional		$7.94	$14.13	$23.99
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 $11.75 / $16.60 / $25.12	Professional		$11.75	$16.60	$25.12
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $34.67 / $48.98	Facility		$23.99	$34.67	$48.98
Highmark BCBS Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $18.62 / $26.92 / $28.18	Facility	CQ	$18.62	$26.92	$28.18
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $10.96 / $12.30	Professional		$8.51	$10.96	$12.30
Highmark BCBS Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $12.30 / $12.30 / $12.59	Professional	CQ	$12.30	$12.30	$12.59
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $6.31 / $8.51	Professional		$6.31	$6.31	$8.51
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.77 / $14.13 / $20.89	Facility		$9.77	$14.13	$20.89
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.96 / $23.44	Professional		$7.94	$10.96	$23.44
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $134.90 / $177.83	Facility		$128.82	$134.90	$177.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $17.78 / $72.44	Professional		$16.98	$17.78	$72.44
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $14.13 / $15.49	Facility		$12.30	$14.13	$15.49
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $14.13 / $34.67	Professional		$12.30	$14.13	$34.67
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 $10.96 / $14.45 / $33.11	Professional		$10.96	$14.45	$33.11

Pennsylvania rates for HCPCS 97035