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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $109.65 / $251.19	Facility		$34.67	$109.65	$251.19
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $81.28 / $112.20 / $251.19	Facility	25	$81.28	$112.20	$251.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $38.90 / $83.18	Professional		$25.12	$38.90	$83.18
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $36.31 / $56.23 / $144.54	Professional	25	$36.31	$56.23	$144.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $37.15 / $40.74	Professional		$32.36	$37.15	$40.74
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $38.02 / $38.02 / $39.81	Professional	25	$38.02	$38.02	$39.81
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $389.05 / $446.68	Facility		$190.55	$389.05	$446.68
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $40.74 / $42.66	Professional		$40.74	$40.74	$42.66
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,511.38 / $8,511.38 / $77,624.71	Facility		$8,511.38	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $66.07	Professional		$39.81	$39.81	$66.07
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $61.66 / $81.28	Professional		$47.86	$61.66	$81.28
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $42.66 / $70.79	Professional		$33.11	$42.66	$70.79
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $38.02 / $70.79	Professional		$33.11	$38.02	$70.79
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $35.48 / $35.48 / $64.57	Professional	25	$35.48	$35.48	$64.57
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $295.12 / $446.68	Facility		$190.55	$295.12	$446.68
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $40.74 / $41.69	Professional		$40.74	$40.74	$41.69
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $37.15 / $263.03	Facility		$23.99	$37.15	$263.03
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $37.15 / $69.18	Professional		$23.44	$37.15	$69.18
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $70.79 / $87.10	Professional		$0.60	$70.79	$87.10
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $26.30 / $38.02	Facility		$12.88	$26.30	$38.02
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $26.30 / $40.74	Professional		$12.88	$26.30	$40.74
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $154.88 / $263.03	Facility		$134.90	$154.88	$263.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $37.15 / $67.61	Professional		$25.12	$37.15	$67.61

Pennsylvania rates for HCPCS G0101