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 $181.97 / $1,148.15 / $2,344.23	Facility		$181.97	$1,148.15	$2,344.23
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $524.81 / $1,348.96 / $3,981.07	Facility	25	$524.81	$1,348.96	$3,981.07
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $120.23 / $281.84	Professional		$85.11	$120.23	$281.84
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $97.72 / $199.53 / $380.19	Professional	25	$97.72	$199.53	$380.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $154.88 / $234.42	Professional		$102.33	$154.88	$234.42
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $97.72 / $151.36 / $467.74	Professional	25	$97.72	$151.36	$467.74
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $131.83 / $245.47	Professional		$117.49	$131.83	$245.47
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,454.71 / $2,454.71 / $2,511.89	Facility		$2,454.71	$2,454.71	$2,511.89
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $190.55 / $213.80	Professional		$165.96	$190.55	$213.80
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $144.54 / $302.00	Professional		$104.71	$144.54	$302.00
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $213.80 / $346.74	Professional		$117.49	$213.80	$346.74
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $151.36 / $245.47	Professional		$107.15	$151.36	$245.47
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,096.48 / $1,202.26 / $1,445.44	Facility		$1,096.48	$1,202.26	$1,445.44
Highmark BCBS Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $1,071.52 / $1,174.90 / $2,041.74	Facility	25	$1,071.52	$1,174.90	$2,041.74
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $154.88 / $251.19	Professional		$131.83	$154.88	$251.19
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $128.82 / $158.49 / $234.42	Professional	25	$128.82	$158.49	$234.42
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $870.96 / $912.01 / $4,466.84	Facility		$870.96	$912.01	$4,466.84
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $134.90 / $245.47	Professional		$107.15	$134.90	$245.47
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $123.03 / $1,071.52	Facility		$95.50	$123.03	$1,071.52
Martin's Point Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $1,148.15 / $1,258.93 / $7,943.28	Facility	25	$1,148.15	$1,258.93	$7,943.28
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $125.89 / $251.19	Professional		$91.20	$125.89	$251.19
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $128.82 / $165.96	Professional		$102.33	$128.82	$165.96
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $1,202.26	Facility		$158.49	$158.49	$1,202.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $204.17 / $245.47	Professional		$120.23	$204.17	$245.47
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $97.72 / $309.03	Professional		$53.70	$97.72	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,258.93 / $2,137.96 / $4,786.30	Facility		$1,258.93	$2,137.96	$4,786.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $134.90 / $275.42	Professional		$95.50	$134.90	$275.42
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $70.79 / $89.13 / $173.78	Professional	25	$70.79	$89.13	$173.78

Pennsylvania rates for HCPCS 99284