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 $20.89 / $61.66 / $109.65	Facility	$20.89	$61.66	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $35.48 / $79.43	Professional	$20.89	$35.48	$79.43
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $38.02 / $42.66	Professional	$30.20	$38.02	$42.66
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $40.74 / $40.74	Professional	$34.67	$40.74	$40.74
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 $38.02 / $38.90 / $66.07	Professional	$38.02	$38.90	$66.07
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $36.31 / $36.31	Facility	$35.48	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $37.15 / $63.10	Professional	$23.44	$37.15	$63.10
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $45.71 / $45.71	Facility	$45.71	$45.71	$45.71
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $60.26 / $83.18	Professional	$41.69	$60.26	$83.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $35.48 / $54.95	Professional	$30.20	$35.48	$54.95
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $41.69 / $64.57	Professional	$38.02	$41.69	$64.57
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $40.74 / $42.66	Professional	$34.67	$40.74	$42.66
Johns Hopkins Employer Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Facility	$44.67	$44.67	$44.67
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Professional	$44.67	$44.67	$44.67
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $33.88 / $109.65	Facility	$20.89	$33.88	$109.65
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $34.67 / $66.07	Professional	$20.89	$34.67	$66.07
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $25.70 / $25.70	Facility	$25.70	$25.70	$25.70
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $44.67 / $100.00	Professional	$25.70	$44.67	$100.00
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $33.11 / $81.28	Facility	$10.00	$33.11	$81.28
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $33.11 / $81.28	Professional	$10.00	$33.11	$81.28
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility	$51.29	$51.29	$51.29
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $36.31 / $64.57	Professional	$22.39	$36.31	$64.57

Pennsylvania rates for HCPCS 99401