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 $0.38 / $0.54 / $0.76	Facility	$0.38	$0.54	$0.76
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $1.00 / $4.79	Professional	$1.00	$1.00	$4.79
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional	$81.28	$81.28	$81.28
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $97.72 / $154.88	Facility	$39.81	$97.72	$154.88
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.72 / $0.72 / $0.72	Professional	$0.72	$0.72	$0.72
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 $1.10 / $1.10 / $1.10	Professional	$1.10	$1.10	$1.10
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.65 / $0.65 / $0.65	Facility	$0.65	$0.65	$0.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.55 / $0.55 / $0.55	Professional	$0.55	$0.55	$0.55
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $1.62 / $2.45	Professional	$1.00	$1.62	$2.45
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.12 / $1.12 / $1.12	Facility	$1.12	$1.12	$1.12
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.68 / $0.78 / $1.12	Professional	$0.68	$0.78	$1.12
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $46.77 / $46.77	Facility	$46.77	$46.77	$46.77
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $89.13 / $134.90	Facility	$38.02	$89.13	$134.90
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.38 / $0.54 / $22.39	Facility	$0.38	$0.54	$22.39
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $1.00 / $2.45	Professional	$1.00	$1.00	$2.45
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $1.51 / $2.19	Professional	$0.60	$1.51	$2.19
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.39 / $0.78 / $1.05	Facility	$0.39	$0.78	$1.05
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.30 / $0.95 / $158.49	Professional	$0.30	$0.95	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.43 / $0.55 / $0.98	Professional	$0.43	$0.55	$0.98

Pennsylvania rates for HCPCS A6454