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 $2.00 / $3.98 / $3.98	Facility	$2.00	$3.98	$3.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $3.02 / $3.98	Professional	$2.00	$3.02	$3.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.13 / $5.25 / $5.25	Professional	$5.13	$5.25	$5.25
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.63 / $3.31 / $3.31	Professional	$2.63	$3.31	$3.31
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 $5.13 / $5.13 / $5.13	Professional	$5.13	$5.13	$5.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.09 / $3.09 / $4.90	Facility	$3.09	$3.09	$4.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.57 / $2.57 / $3.24	Professional	$2.57	$2.57	$3.24
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.79 / $6.46 / $9.77	Professional	$4.79	$6.46	$9.77
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.25 / $5.25 / $5.25	Facility	$5.25	$5.25	$5.25
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.09 / $3.63 / $5.25	Professional	$3.09	$3.63	$5.25
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.55 / $3.80 / $5.01	Professional	$3.55	$3.80	$5.01
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.31 / $3.31 / $3.31	Professional	$3.31	$3.31	$3.31
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.00 / $2.00 / $2.00	Facility	$2.00	$2.00	$2.00
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.38 / $3.02 / $3.98	Professional	$1.38	$3.02	$3.98
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $7.24 / $10.00	Professional	$0.60	$7.24	$10.00
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.00 / $3.63 / $4.79	Facility	$1.00	$3.63	$4.79
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.63 / $4.17 / $7.76	Professional	$3.63	$4.17	$7.76
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.74 / $2.14 / $3.24	Facility	$1.74	$2.14	$3.24
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.78 / $2.51 / $5.25	Professional	$1.78	$2.51	$5.25

Pennsylvania rates for HCPCS A4371