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 $57.54 / $97.72 / $120.23	Facility		$57.54	$97.72	$120.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $72.44 / $165.96	Professional		$56.23	$72.44	$165.96
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $64.57 / $128.82 / $245.47	Professional	25	$64.57	$128.82	$245.47
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $64.57 / $107.15	Professional		$51.29	$64.57	$107.15
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Professional	25	$63.10	$63.10	$63.10
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 $63.10 / $74.13 / $120.23	Professional		$63.10	$74.13	$120.23
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $85.11 / $144.54	Professional		$58.88	$85.11	$144.54
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $117.49 / $158.49	Professional		$81.28	$117.49	$158.49
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $85.11 / $134.90	Professional		$72.44	$85.11	$134.90
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $77.62 / $120.23	Professional		$61.66	$77.62	$120.23
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $66.07 / $83.18 / $97.72	Professional	25	$66.07	$83.18	$97.72
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $72.44 / $151.36	Professional		$56.23	$72.44	$151.36
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $114.82 / $173.78	Professional		$81.28	$114.82	$173.78
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $70.79 / $81.28	Facility		$69.18	$70.79	$81.28
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $70.79 / $81.28	Professional		$10.72	$70.79	$81.28
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $79.43 / $131.83	Professional		$60.26	$79.43	$131.83
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional	25	$93.33	$93.33	$93.33

Pennsylvania rates for HCPCS 99498