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 $26.92 / $83.18 / $457.09	Facility		$26.92	$83.18	$457.09
Aetna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $114.82 / $181.97 / $389.05	Facility	CO	$114.82	$181.97	$389.05
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $56.23 / $107.15 / $616.60	Facility	CQ	$56.23	$107.15	$616.60
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $51.29 / $199.53	Professional		$19.05	$51.29	$199.53
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $42.66 / $43.65 / $48.98	Professional	CO	$42.66	$43.65	$48.98
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $24.55 / $57.54 / $177.83	Professional	CQ	$24.55	$57.54	$177.83
Ambetter Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	CQ	$27.54	$27.54	$27.54
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $17.78 / $38.90	Professional		$13.18	$17.78	$38.90
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 $25.70 / $30.20 / $38.02	Professional		$25.70	$30.20	$38.02
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $75.86 / $125.89	Facility		$61.66	$75.86	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $28.18 / $52.48	Professional		$16.60	$28.18	$52.48
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $46.77	Professional		$34.67	$34.67	$46.77
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $37.15 / $61.66	Professional		$28.18	$37.15	$61.66
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $53.70 / $83.18	Facility		$29.51	$53.70	$83.18
Highmark BCBS Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $44.67 / $120.23 / $120.23	Facility	CO	$44.67	$120.23	$120.23
Highmark BCBS Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $41.69 / $51.29 / $91.20	Facility	CQ	$41.69	$51.29	$91.20
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $23.99 / $26.92	Professional		$22.91	$23.99	$26.92
Highmark BCBS Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $24.55 / $25.12 / $39.81	Professional	CQ	$24.55	$25.12	$39.81
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $17.78 / $37.15	Professional		$13.18	$17.78	$37.15
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $29.51 / $51.29	Facility		$19.95	$29.51	$51.29
Martin's Point Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $47.86 / $72.44 / $100.00	Facility	CQ	$47.86	$72.44	$100.00
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $22.91 / $51.29	Professional		$17.38	$22.91	$51.29
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $63.10 / $89.13	Facility		$63.10	$63.10	$89.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $30.20 / $72.44	Professional		$28.84	$30.20	$72.44
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $15.85 / $28.84	Facility		$12.30	$15.85	$28.84
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $19.05 / $33.11	Professional		$12.30	$19.05	$33.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $31.62 / $31.62	Facility		$28.84	$31.62	$31.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $30.20 / $53.70	Professional		$23.99	$30.20	$53.70

Pennsylvania rates for HCPCS 97110