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 $5.01 / $25.12 / $218.78	Facility	$5.01	$25.12	$218.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.34 / $6.46 / $19.95	Professional	$2.34	$6.46	$19.95
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $8.32 / $15.14	Professional	$5.62	$8.32	$15.14
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $295.12 / $467.74	Facility	$120.23	$295.12	$467.74
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.92 / $6.92 / $6.92	Professional	$6.92	$6.92	$6.92
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 $10.72 / $10.72 / $10.72	Professional	$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.92 / $6.92 / $6.92	Facility	$6.92	$6.92	$6.92
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.13 / $5.13 / $9.12	Professional	$5.13	$5.13	$9.12
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $15.85 / $23.99	Professional	$9.77	$15.85	$23.99
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $10.96 / $10.96	Facility	$10.96	$10.96	$10.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.61 / $7.76 / $10.96	Professional	$6.61	$7.76	$10.96
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $57.54 / $69.18	Facility	$14.79	$57.54	$69.18
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $269.15 / $407.38	Facility	$114.82	$269.15	$407.38
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.01 / $5.50 / $7.24	Facility	$5.01	$5.50	$7.24
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.14 / $6.03 / $10.00	Professional	$2.14	$6.03	$10.00
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $2,137.96 / $2,137.96	Facility	$2,137.96	$2,137.96	$2,137.96
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $14.45 / $21.38	Professional	$0.60	$14.45	$21.38
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.24 / $7.24 / $12.02	Facility	$7.24	$7.24	$12.02
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $10.23 / $12.02	Professional	$7.24	$10.23	$12.02
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.17 / $5.37 / $9.77	Professional	$4.17	$5.37	$9.77

Pennsylvania rates for HCPCS A4565