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 / $2.82 / $2.82	Facility	$1.00	$2.82	$2.82
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 $3.63 / $3.63 / $3.72	Professional	$3.63	$3.63	$3.72
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.86 / $2.34 / $2.34	Professional	$1.86	$2.34	$2.34
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 $3.63 / $3.63 / $3.63	Professional	$3.63	$3.63	$3.63
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.19 / $2.19 / $3.47	Facility	$2.19	$2.19	$3.47
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.86 / $1.86 / $2.29	Professional	$1.86	$1.86	$2.29
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.82 / $4.07 / $7.08	Professional	$1.82	$4.07	$7.08
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.72 / $3.72 / $3.72	Facility	$3.72	$3.72	$3.72
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.19 / $2.57 / $3.72	Professional	$2.19	$2.57	$3.72
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.45 / $2.69 / $2.69	Professional	$2.45	$2.69	$2.69
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.34 / $2.34 / $2.34	Professional	$2.34	$2.34	$2.34
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 / $3.02	Professional	$1.00	$2.00	$3.02
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $5.25 / $7.08	Professional	$0.60	$5.25	$7.08
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.95 / $3.47 / $7.76	Facility	$1.95	$3.47	$7.76
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.57 / $3.80 / $66.07	Professional	$2.57	$3.80	$66.07
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.23 / $1.51 / $2.29	Facility	$1.23	$1.51	$2.29
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.26 / $1.82 / $3.72	Professional	$1.26	$1.82	$3.72

Pennsylvania rates for HCPCS A4394