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 $19.95 / $22.91 / $47.86	Facility		$19.95	$22.91	$47.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $28.18 / $61.66	Professional		$20.89	$28.18	$61.66
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $40.74 / $40.74 / $40.74	Professional	25	$40.74	$40.74	$40.74
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $30.20 / $56.23	Professional		$20.42	$30.20	$56.23
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 $25.70 / $30.20 / $48.98	Professional		$25.70	$30.20	$48.98
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $36.31 / $57.54	Professional		$26.30	$36.31	$57.54
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $42.66 / $63.10	Professional		$30.90	$42.66	$63.10
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $33.11 / $54.95	Professional		$29.51	$33.11	$54.95
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $30.20 / $38.90	Professional		$25.70	$30.20	$38.90
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $19.95 / $22.91	Facility		$19.95	$19.95	$22.91
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $26.92 / $51.29	Professional		$20.42	$26.92	$51.29
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $45.71 / $69.18	Professional		$33.88	$45.71	$69.18
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $28.84 / $33.11	Facility		$22.39	$28.84	$33.11
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $24.55 / $38.02	Professional		$14.79	$24.55	$38.02
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $31.62 / $53.70	Professional		$22.91	$31.62	$53.70

Pennsylvania rates for HCPCS 99422