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 / $3.72 / $3.72	Facility	$2.00	$3.72	$3.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $2.00 / $3.98	Professional	$2.00	$2.00	$3.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.79 / $4.79 / $4.79	Professional	$4.79	$4.79	$4.79
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.45 / $3.09 / $3.09	Professional	$2.45	$3.09	$3.09
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 $4.79 / $4.79 / $4.79	Professional	$4.79	$4.79	$4.79
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.88 / $2.88 / $4.57	Facility	$2.88	$2.88	$4.57
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.45 / $2.45 / $3.02	Professional	$2.45	$2.45	$3.02
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.45 / $5.37 / $9.33	Professional	$2.45	$5.37	$9.33
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.90 / $4.90 / $4.90	Facility	$4.90	$4.90	$4.90
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.95 / $3.39 / $4.90	Professional	$2.95	$3.39	$4.90
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.24 / $3.55 / $3.55	Professional	$3.24	$3.55	$3.55
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.09 / $3.09 / $3.09	Professional	$3.09	$3.09	$3.09
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 $1.29 / $2.00 / $3.98	Professional	$1.29	$2.00	$3.98
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $6.76 / $9.33	Professional	$0.60	$6.76	$9.33
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.39 / $3.39 / $4.57	Facility	$3.39	$3.39	$4.57
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.39 / $3.39 / $4.57	Professional	$3.39	$3.39	$4.57
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.58 / $2.00 / $3.02	Facility	$1.58	$2.00	$3.02
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.66 / $2.40 / $4.90	Professional	$1.66	$2.40	$4.90

Pennsylvania rates for HCPCS A4405