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 $25.70 / $87.10 / $302.00	Facility		$25.70	$87.10	$302.00
Aetna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $91.20 / $169.82 / $407.38	Facility	CO	$91.20	$169.82	$407.38
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $72.44 / $134.90 / $524.81	Facility	CQ	$72.44	$134.90	$524.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $42.66 / $281.84	Professional		$22.91	$42.66	$281.84
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $54.95 / $54.95 / $151.36	Professional	CO	$54.95	$54.95	$151.36
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $30.90 / $46.77 / $114.82	Professional	CQ	$30.90	$46.77	$114.82
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $22.91 / $41.69	Professional		$22.91	$22.91	$41.69
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 $38.02 / $63.10 / $85.11	Professional		$38.02	$63.10	$85.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $75.86 / $125.89	Facility		$64.57	$75.86	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $33.88 / $61.66	Professional		$19.95	$33.88	$61.66
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $56.23	Professional		$34.67	$34.67	$56.23
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $39.81 / $66.07	Professional		$29.51	$39.81	$66.07
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $75.86 / $109.65	Facility		$42.66	$75.86	$109.65
Highmark BCBS Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $9.77 / $66.07 / $134.90	Facility	CO	$9.77	$66.07	$134.90
Highmark BCBS Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $60.26 / $79.43 / $144.54	Facility	CQ	$60.26	$79.43	$144.54
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $21.88 / $44.67	Professional		$13.49	$21.88	$44.67
Highmark BCBS Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $33.11 / $33.11 / $35.48	Professional	CQ	$33.11	$33.11	$35.48
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $22.91 / $41.69	Professional		$22.91	$22.91	$41.69
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $37.15 / $54.95	Facility		$24.55	$37.15	$54.95
Martin's Point Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Facility	CO	$97.72	$97.72	$97.72
Martin's Point Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $60.26 / $72.44 / $87.10	Facility	CQ	$60.26	$72.44	$87.10
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $28.84 / $58.88	Professional		$20.89	$28.84	$58.88
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 $39.81 / $72.44 / $933.25	Professional		$39.81	$72.44	$933.25
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $12.88 / $36.31	Facility		$12.88	$12.88	$36.31
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $26.92 / $74.13	Professional		$12.88	$26.92	$74.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $38.90 / $38.90	Facility		$34.67	$38.90	$38.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $37.15 / $58.88	Professional		$26.30	$37.15	$58.88

Pennsylvania rates for HCPCS 97530