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 $12.02 / $22.91 / $42.66	Facility		$12.02	$22.91	$42.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.88 / $30.90	Professional		$10.00	$12.88	$30.90
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $11.48 / $12.59 / $17.38	Professional	CQ	$11.48	$12.59	$17.38
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 $19.05 / $19.05 / $33.11	Professional		$19.05	$19.05	$33.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $64.57 / $125.89	Facility		$29.51	$64.57	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $17.78 / $32.36	Professional		$10.23	$17.78	$32.36
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $23.99 / $28.84	Professional		$23.99	$23.99	$28.84
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $21.88 / $37.15	Professional		$17.38	$21.88	$37.15
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $14.45 / $15.14	Professional		$10.96	$14.45	$15.14
Highmark BCBS Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $15.14 / $15.14 / $15.14	Professional	CQ	$15.14	$15.14	$15.14
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $19.95 / $26.30	Facility		$12.02	$19.95	$26.30
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $12.88 / $26.30	Professional		$10.72	$12.88	$26.30
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 $24.55 / $25.70 / $89.13	Professional		$24.55	$25.70	$89.13
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $15.49 / $19.05	Facility		$15.49	$15.49	$19.05
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $16.22 / $18.20	Professional		$12.59	$16.22	$18.20
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.20 / $19.95 / $19.95	Facility		$18.20	$19.95	$19.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $18.20 / $34.67	Professional		$15.14	$18.20	$34.67

Pennsylvania rates for HCPCS 97150