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 $25.12 / $89.13 / $331.13	Facility		$25.12	$89.13	$331.13
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $30.20 / $93.33 / $537.03	Facility	CQ	$30.20	$93.33	$537.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $39.81 / $295.12	Professional		$20.89	$39.81	$295.12
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $26.92 / $26.92 / $26.92	Professional	CO	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $22.91 / $39.81 / $83.18	Professional	CQ	$22.91	$39.81	$83.18
Ambetter Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Professional	CQ	$30.90	$30.90	$30.90
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $20.42 / $53.70	Professional		$15.49	$20.42	$53.70
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 $30.20 / $30.20 / $57.54	Professional		$30.20	$30.20	$57.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $75.86 / $125.89	Facility		$54.95	$75.86	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $33.11 / $60.26	Professional		$18.62	$33.11	$60.26
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $52.48	Professional		$34.67	$34.67	$52.48
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $38.02 / $64.57	Professional		$28.84	$38.02	$64.57
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $63.10 / $93.33	Facility		$38.02	$63.10	$93.33
Highmark BCBS Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $51.29 / $72.44 / $91.20	Facility	CQ	$51.29	$72.44	$91.20
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $27.54 / $28.84	Professional		$25.70	$27.54	$28.84
Highmark BCBS Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $27.54 / $28.84 / $36.31	Professional	CQ	$27.54	$28.84	$36.31
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $20.42 / $42.66	Professional		$15.49	$20.42	$42.66
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $34.67 / $50.12	Facility		$22.91	$34.67	$50.12
Martin's Point Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Facility	CQ	$93.33	$93.33	$93.33
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $26.30 / $54.95	Professional		$19.95	$26.30	$54.95
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $123.03 / $177.83	Facility		$114.82	$123.03	$177.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $33.11 / $72.44	Professional		$30.20	$33.11	$72.44
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.41 / $12.02 / $33.11	Facility		$7.41	$12.02	$33.11
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $23.99 / $34.67	Professional		$12.02	$23.99	$34.67
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $36.31 / $36.31	Facility		$32.36	$36.31	$36.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $33.88 / $54.95	Professional		$25.70	$33.88	$54.95

Pennsylvania rates for HCPCS 97112