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 / $3.89 / $4.47	Facility	$2.00	$3.89	$4.47
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 $3.02 / $5.01 / $5.13	Professional	$3.02	$5.01	$5.13
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.57 / $3.24 / $3.24	Professional	$2.57	$3.24	$3.24
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 $5.01 / $5.01 / $5.01	Professional	$5.01	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.02 / $3.02 / $4.79	Facility	$3.02	$3.02	$4.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.57 / $2.57 / $3.16	Professional	$2.57	$2.57	$3.16
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.63 / $5.62 / $9.77	Professional	$2.63	$5.62	$9.77
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.13 / $5.13 / $5.13	Facility	$5.13	$5.13	$5.13
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.09 / $3.55 / $5.13	Professional	$3.09	$3.55	$5.13
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.24 / $3.72 / $5.13	Professional	$3.24	$3.72	$5.13
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.24 / $3.24 / $3.24	Professional	$3.24	$3.24	$3.24
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 / $7.08 / $10.00	Professional	$0.60	$7.08	$10.00
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.55 / $3.55 / $4.79	Facility	$3.55	$3.55	$4.79
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.55 / $3.98 / $4.90	Professional	$3.55	$3.98	$4.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.70 / $2.09 / $3.24	Facility	$1.70	$2.09	$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 A4425