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 $34.67 / $74.13 / $446.68	Facility		$34.67	$74.13	$446.68
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $61.66 / $79.43 / $275.42	Facility	25	$61.66	$79.43	$275.42
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $52.48 / $107.15	Professional		$28.84	$52.48	$107.15
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $32.36 / $56.23 / $114.82	Professional	25	$32.36	$56.23	$114.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $54.95 / $85.11	Professional		$30.20	$54.95	$85.11
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $36.31 / $54.95 / $75.86	Professional	25	$36.31	$54.95	$75.86
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $354.81	Facility		$36.31	$36.31	$354.81
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $53.70 / $58.88	Professional		$38.02	$53.70	$58.88
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,511.38 / $8,511.38 / $77,624.71	Facility		$8,511.38	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $61.66 / $72.44	Professional		$54.95	$61.66	$72.44
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $50.12 / $61.66 / $83.18	Professional	50	$50.12	$61.66	$83.18
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $147.91 / $257.04	Facility		$54.95	$147.91	$257.04
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Facility	22	$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier 62 Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Facility	62	$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier AS Typical Low / Median / Typical High $5.37 / $5.37 / $5.37	Facility	AS	$5.37	$5.37	$5.37
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $45.71 / $81.28	Professional		$26.92	$45.71	$81.28
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $69.18	Facility		$54.95	$54.95	$69.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $38.90 / $91.20	Professional		$30.90	$38.90	$91.20
Emblem Health Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $61.66 / $100.00 / $128.82	Professional	25	$61.66	$100.00	$128.82
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $41.69	Facility		$34.67	$34.67	$41.69
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $61.66 / $97.72	Professional		$34.67	$61.66	$97.72
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $131.83 / $194.98	Facility		$43.65	$131.83	$194.98
Highmark BCBS Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $43.65 / $89.13 / $194.98	Facility	25	$43.65	$89.13	$194.98
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $58.88 / $93.33	Professional		$34.67	$58.88	$93.33
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $34.67 / $56.23 / $85.11	Professional	25	$34.67	$56.23	$85.11
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $741.31	Facility		$36.31	$36.31	$741.31
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $53.70 / $58.88	Professional		$38.90	$53.70	$58.88
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $44.67 / $83.18	Facility		$28.84	$44.67	$83.18
Martin's Point Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Facility	25	$83.18	$83.18	$83.18
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $43.65 / $77.62	Professional		$28.18	$43.65	$77.62
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $54.95 / $75.86	Professional		$39.81	$54.95	$75.86
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $117.49 / $288.40	Facility		$40.74	$117.49	$288.40
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $77.62 / $112.20	Professional		$40.74	$77.62	$112.20
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $35.48 / $74.13	Facility		$23.99	$35.48	$74.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $36.31 / $69.18	Professional		$22.39	$36.31	$69.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $43.65 / $89.13	Professional		$23.99	$43.65	$89.13
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $70.79 / $89.13 / $112.20	Professional	25	$70.79	$89.13	$112.20

Pennsylvania rates for HCPCS 99212