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 $81.28 / $169.82 / $309.03	Facility	$81.28	$169.82	$309.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $154.88 / $309.03	Professional	$91.20	$154.88	$309.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $134.90 / $162.18	Professional	$117.49	$134.90	$162.18
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $151.36 / $239.88	Professional	$128.82	$151.36	$239.88
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 $144.54 / $151.36 / $223.87	Professional	$144.54	$151.36	$223.87
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $151.36 / $151.36	Facility	$100.00	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $131.83 / $218.78	Professional	$91.20	$131.83	$218.78
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Facility	$190.55	$190.55	$190.55
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $165.96 / $281.84	Professional	$63.10	$165.96	$281.84
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $104.71 / $204.17	Professional	$89.13	$104.71	$204.17
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $81.28	Facility	$72.44	$72.44	$81.28
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $141.25 / $204.17	Professional	$123.03	$141.25	$204.17
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $239.88 / $239.88	Professional	$229.09	$239.88	$239.88
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $120.23 / $309.03	Facility	$89.13	$120.23	$309.03
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $123.03 / $229.09	Professional	$87.10	$123.03	$229.09
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	$100.00	$100.00	$100.00
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $181.97 / $346.74	Professional	$100.00	$181.97	$346.74
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $117.49 / $138.04	Facility	$19.50	$117.49	$138.04
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $114.82 / $138.04	Professional	$19.50	$114.82	$138.04
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $181.97 / $181.97	Facility	$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $125.89 / $213.80	Professional	$85.11	$125.89	$213.80

Pennsylvania rates for HCPCS 99397