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 $12.88 / $15.85 / $20.89	Facility	$12.88	$15.85	$20.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $15.85 / $22.91	Professional	$12.02	$15.85	$22.91
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $27.54 / $28.84	Professional	$17.38	$27.54	$28.84
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $16.22 / $38.90	Professional	$16.22	$16.22	$38.90
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility	$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $25.12 / $25.12	Professional	$25.12	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Facility	$17.78	$17.78	$17.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $15.14 / $15.14	Professional	$15.14	$15.14	$15.14
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $37.15 / $56.23	Professional	$22.91	$37.15	$56.23
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $25.70 / $25.70	Facility	$25.70	$25.70	$25.70
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $18.20 / $25.70	Professional	$15.49	$18.20	$25.70
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $69.18 / $100.00	Facility	$69.18	$69.18	$100.00
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $18.62 / $38.90	Professional	$18.62	$18.62	$38.90
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $12.88 / $15.85	Facility	$12.88	$12.88	$15.85
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $15.85 / $22.91	Professional	$12.02	$15.85	$22.91
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $1,348.96 / $1,698.24	Facility	$812.83	$1,348.96	$1,698.24
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $21.38 / $48.98	Professional	$0.60	$21.38	$48.98
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $22.39 / $67.61	Facility	$17.78	$22.39	$67.61
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $25.70 / $67.61	Professional	$20.89	$25.70	$67.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $14.13 / $25.12	Professional	$10.96	$14.13	$25.12

Pennsylvania rates for HCPCS A4221