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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $100.00 / $190.55	Facility	$74.13	$100.00	$190.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $134.90 / $281.84	Professional	$79.43	$134.90	$281.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $117.49 / $154.88	Professional	$89.13	$117.49	$154.88
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $131.83 / $131.83	Professional	$100.00	$131.83	$131.83
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 $125.89 / $131.83 / $194.98	Professional	$125.89	$131.83	$194.98
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $131.83 / $131.83	Facility	$95.50	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $114.82 / $194.98	Professional	$79.43	$114.82	$194.98
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	$165.96	$165.96	$165.96
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $144.54 / $245.47	Professional	$46.77	$144.54	$245.47
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $85.11 / $165.96	Professional	$72.44	$85.11	$165.96
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $72.44 / $251.19	Facility	$43.65	$72.44	$251.19
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $125.89 / $162.18	Professional	$100.00	$125.89	$162.18
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $1,380.38 / $1,380.38	Facility	$1,380.38	$1,380.38	$1,380.38
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $131.83 / $141.25	Professional	$100.00	$131.83	$141.25
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $100.00 / $181.97	Facility	$74.13	$100.00	$181.97
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $107.15 / $199.53	Professional	$74.13	$107.15	$199.53
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $67.61 / $83.18	Facility	$58.88	$67.61	$83.18
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $141.25 / $295.12	Professional	$83.18	$141.25	$295.12
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $95.50 / $112.20	Facility	$15.14	$95.50	$112.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $95.50 / $112.20	Professional	$15.14	$95.50	$112.20
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	$158.49	$158.49	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $109.65 / $190.55	Professional	$74.13	$109.65	$190.55

Pennsylvania rates for HCPCS 99395