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 $3.02 / $6.03 / $6.03	Facility	$3.02	$6.03	$6.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $3.98 / $7.08	Professional	$3.02	$3.98	$7.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $7.76 / $7.76	Professional	$7.76	$7.76	$7.76
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.01 / $5.01	Professional	$3.98	$5.01	$5.01
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 $7.76 / $7.76 / $7.76	Professional	$7.76	$7.76	$7.76
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.57 / $4.57 / $7.41	Facility	$4.57	$4.57	$7.41
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.89 / $3.89 / $5.50	Professional	$3.89	$3.89	$5.50
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.50 / $8.71 / $14.79	Professional	$5.50	$8.71	$14.79
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.76 / $7.76 / $7.76	Facility	$7.76	$7.76	$7.76
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.68 / $5.50 / $7.76	Professional	$4.68	$5.50	$7.76
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $5.75 / $5.75	Professional	$5.37	$5.75	$5.75
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $5.01 / $5.01	Professional	$5.01	$5.01	$5.01
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.02 / $3.02 / $3.02	Facility	$3.02	$3.02	$3.02
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $3.98 / $6.03	Professional	$3.02	$3.98	$6.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $10.96 / $15.14	Professional	$0.60	$10.96	$15.14
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.50 / $6.31 / $14.13	Facility	$5.50	$6.31	$14.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.07 / $5.50 / $14.13	Professional	$4.07	$5.50	$14.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.57 / $3.24 / $4.90	Facility	$2.57	$3.24	$4.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.69 / $3.80 / $7.76	Professional	$2.69	$3.80	$7.76

Pennsylvania rates for HCPCS A4413