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 $22.39 / $50.12 / $269.15	Facility		$22.39	$50.12	$269.15
Aetna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $83.18 / $169.82 / $1,071.52	Facility	CO	$83.18	$169.82	$1,071.52
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $83.18 / $229.09 / $1,584.89	Facility	CQ	$83.18	$229.09	$1,584.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $30.20 / $295.12	Professional		$19.05	$30.20	$295.12
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $27.54 / $27.54 / $81.28	Professional	CO	$27.54	$27.54	$81.28
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $20.42 / $26.92 / $81.28	Professional	CQ	$20.42	$26.92	$81.28
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
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 / $66.07 / $85.11	Professional		$38.02	$66.07	$85.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $75.86 / $125.89	Facility		$57.54	$75.86	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $32.36 / $58.88	Professional		$18.62	$32.36	$58.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $52.48 / $53.70	Professional		$42.66	$52.48	$53.70
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $38.90 / $66.07	Professional		$29.51	$38.90	$66.07
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $104.71 / $147.91	Facility		$38.90	$104.71	$147.91
Highmark BCBS Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $9.33 / $77.62 / $102.33	Facility	CO	$9.33	$77.62	$102.33
Highmark BCBS Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $57.54 / $57.54 / $57.54	Facility	CQ	$57.54	$57.54	$57.54
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $14.79 / $19.50	Professional		$14.79	$14.79	$19.50
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $33.11 / $57.54	Facility		$21.88	$33.11	$57.54
Martin's Point Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Facility	CO	$70.79	$70.79	$70.79
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $25.70 / $57.54	Professional		$19.95	$25.70	$57.54
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 $32.36 / $33.88 / $72.44	Professional		$32.36	$33.88	$72.44
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $19.50 / $32.36	Facility		$15.14	$19.50	$32.36
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $19.50 / $32.36	Professional		$15.14	$19.50	$32.36
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $35.48 / $35.48	Facility		$32.36	$35.48	$35.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $33.11 / $51.29	Professional		$26.30	$33.11	$51.29

Pennsylvania rates for HCPCS 97535