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 $19.95 / $64.57 / $371.54	Facility		$19.95	$64.57	$371.54
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $31.62 / $85.11 / $501.19	Facility	CQ	$31.62	$85.11	$501.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $35.48 / $141.25	Professional		$16.98	$35.48	$141.25
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $17.78 / $85.11 / $134.90	Professional	CO	$17.78	$85.11	$134.90
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $17.78 / $38.90 / $117.49	Professional	CQ	$17.78	$38.90	$117.49
Ambetter Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $26.30 / $26.30 / $26.30	Professional	CQ	$26.30	$26.30	$26.30
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $16.22 / $36.31	Professional		$12.02	$16.22	$36.31
AmeriHealth Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $16.22 / $16.22 / $16.22	Professional	52	$16.22	$16.22	$16.22
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 $32.36 / $50.12 / $58.88	Professional		$32.36	$50.12	$58.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $75.86 / $125.89	Facility		$50.12	$75.86	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $26.30 / $47.86	Professional		$15.85	$26.30	$47.86
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $44.67	Professional		$34.67	$34.67	$44.67
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $33.88 / $57.54	Professional		$25.70	$33.88	$57.54
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $51.29 / $72.44	Facility		$10.47	$51.29	$72.44
Highmark BCBS Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $35.48 / $43.65 / $97.72	Facility	CQ	$35.48	$43.65	$97.72
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $22.91 / $23.99	Professional		$21.38	$22.91	$23.99
Highmark BCBS Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $22.91 / $23.99 / $29.51	Professional	CQ	$22.91	$23.99	$29.51
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $16.22 / $36.31	Professional		$16.22	$16.22	$36.31
Independence Blue Cross Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $16.22 / $16.22 / $16.22	Professional	52	$16.22	$16.22	$16.22
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.62 / $28.18 / $48.98	Facility		$18.62	$28.18	$48.98
Martin's Point Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Facility	CQ	$85.11	$85.11	$85.11
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $21.88 / $47.86	Professional		$16.22	$21.88	$47.86
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 $10.00 / $10.00 / $67.61	Professional		$10.00	$10.00	$67.61
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $23.99 / $26.30	Facility		$14.45	$23.99	$26.30
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $23.99 / $53.70	Professional		$13.18	$23.99	$53.70
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $30.20 / $30.20	Facility		$27.54	$30.20	$30.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $28.18 / $44.67	Professional		$21.88	$28.18	$44.67

Pennsylvania rates for HCPCS 97140