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 / $2.63 / $2.63	Facility	$1.00	$2.63	$2.63
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $2.00 / $3.02	Professional	$1.00	$2.00	$3.02
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.04 / $3.39 / $3.47	Professional	$2.04	$3.39	$3.47
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.74 / $2.19 / $2.19	Professional	$1.74	$2.19	$2.19
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 $3.39 / $3.39 / $3.39	Professional	$3.39	$3.39	$3.39
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.04 / $2.04 / $3.24	Facility	$2.04	$2.04	$3.24
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.74 / $1.74 / $2.04	Professional	$1.74	$1.74	$2.04
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.55 / $3.80 / $6.61	Professional	$1.55	$3.80	$6.61
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.47 / $3.47 / $3.47	Facility	$3.47	$3.47	$3.47
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.09 / $2.40 / $3.47	Professional	$2.09	$2.40	$3.47
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.34 / $2.34 / $2.51	Professional	$2.34	$2.34	$2.51
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.19 / $2.19 / $2.19	Professional	$2.19	$2.19	$2.19
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.00 / $1.00 / $1.00	Facility	$1.00	$1.00	$1.00
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $2.00 / $2.09	Professional	$1.00	$2.00	$2.09
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.57 / $4.79 / $6.76	Professional	$4.57	$4.79	$6.76
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.82 / $2.40 / $4.17	Facility	$1.82	$2.40	$4.17
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.40 / $3.31 / $66.07	Professional	$2.40	$3.31	$66.07
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.12 / $1.41 / $2.14	Facility	$1.12	$1.41	$2.14
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.20 / $1.70 / $3.55	Professional	$1.20	$1.70	$3.55

Pennsylvania rates for HCPCS A4369