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 $16.98 / $32.36 / $128.82	Facility	$16.98	$32.36	$128.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $21.88 / $33.88	Professional	$12.88	$21.88	$33.88
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 $36.31 / $36.31 / $36.31	Professional	$36.31	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $21.88 / $35.48	Facility	$21.88	$21.88	$35.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $18.62 / $21.88	Professional	$18.62	$18.62	$21.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $47.86 / $70.79	Professional	$34.67	$47.86	$70.79
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Facility	$37.15	$37.15	$37.15
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $22.39 / $37.15	Professional	$18.20	$22.39	$37.15
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $239.88	Facility	$128.82	$128.82	$239.88
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $21.88 / $128.82	Facility	$16.98	$21.88	$128.82
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $21.88 / $30.90	Professional	$12.88	$21.88	$30.90
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $48.98 / $70.79	Professional	$0.60	$48.98	$70.79
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $25.70 / $34.67	Facility	$25.70	$25.70	$34.67
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $25.70 / $34.67	Professional	$15.49	$25.70	$34.67
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $16.60 / $23.44	Facility	$12.30	$16.60	$23.44
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $17.78 / $37.15	Professional	$12.88	$17.78	$37.15

Pennsylvania rates for HCPCS A4315