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 $1.00 / $28.84 / $1,949.84	Facility	$1.00	$28.84	$1,949.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $1.00 / $3.24	Professional	$1.00	$1.00	$3.24
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.57 / $2.57 / $2.57	Professional	$2.57	$2.57	$2.57
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.26 / $1.58 / $1.58	Professional	$1.26	$1.58	$1.58
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 $2.40 / $2.40 / $2.40	Professional	$2.40	$2.40	$2.40
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.51 / $1.51 / $2.40	Facility	$1.51	$1.51	$2.40
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.29 / $1.29 / $1.51	Professional	$1.29	$1.29	$1.51
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $3.16 / $4.17	Professional	$2.00	$3.16	$4.17
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.45 / $2.45 / $2.45	Facility	$2.45	$2.45	$2.45
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.23 / $1.48 / $2.45	Professional	$1.23	$1.48	$2.45
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $9.55 / $10.47	Facility	$9.55	$9.55	$10.47
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.45 / $1.74 / $2.40	Professional	$1.45	$1.74	$2.40
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.58 / $1.58 / $1.58	Professional	$1.58	$1.58	$1.58
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.00 / $1.48 / $14.79	Facility	$1.00	$1.48	$14.79
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $1.00 / $2.00	Professional	$1.00	$1.00	$2.00
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $831.76 / $831.76	Facility	$831.76	$831.76	$831.76
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.70 / $1.70 / $3.80	Professional	$1.70	$1.70	$3.80
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.70 / $1.74 / $2.29	Facility	$1.70	$1.74	$2.29
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.58 / $1.82 / $2.29	Professional	$1.58	$1.82	$2.29
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.91 / $1.15 / $1.62	Facility	$0.91	$1.15	$1.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.89 / $1.20 / $2.51	Professional	$0.89	$1.20	$2.51

Pennsylvania rates for HCPCS A4351