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 $95.50 / $186.21 / $323.59	Facility	$95.50	$186.21	$323.59
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $102.33 / $223.87	Professional	$83.18	$102.33	$223.87
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $95.50 / $125.89	Professional	$37.15	$95.50	$125.89
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $125.89 / $131.83	Professional	$107.15	$125.89	$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 $97.72 / $114.82 / $186.21	Professional	$97.72	$114.82	$186.21
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Facility	$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $123.03 / $194.98	Professional	$89.13	$123.03	$194.98
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility	$186.21	$186.21	$186.21
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $169.82 / $229.09	Professional	$117.49	$169.82	$229.09
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $107.15 / $165.96	Professional	$91.20	$107.15	$165.96
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $134.90 / $138.04	Professional	$128.82	$134.90	$138.04
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $125.89 / $144.54	Professional	$107.15	$125.89	$144.54
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $100.00 / $323.59	Facility	$87.10	$100.00	$323.59
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $102.33 / $204.17	Professional	$83.18	$102.33	$204.17
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Facility	$134.90	$134.90	$134.90
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $186.21 / $281.84	Professional	$125.89	$186.21	$281.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $107.15 / $269.15	Facility	$22.39	$107.15	$269.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $131.83 / $269.15	Professional	$22.39	$131.83	$269.15
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Facility	$147.91	$147.91	$147.91
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $117.49 / $194.98	Professional	$89.13	$117.49	$194.98

Pennsylvania rates for HCPCS 99404