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 $70.79 / $75.86 / $147.91	Facility		$70.79	$75.86	$147.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $154.88 / $269.15	Professional		$107.15	$154.88	$269.15
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $104.71 / $177.83 / $346.74	Professional	25	$104.71	$177.83	$346.74
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $158.49	Professional		$131.83	$131.83	$158.49
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $131.83 / $131.83 / $154.88	Professional	25	$131.83	$131.83	$154.88
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $181.97	Professional		$169.82	$169.82	$181.97
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 $144.54 / $169.82 / $269.15	Professional		$144.54	$169.82	$269.15
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $263.03 / $354.81	Professional		$204.17	$263.03	$354.81
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $186.21 / $302.00	Professional		$97.72	$186.21	$302.00
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $181.97	Professional		$169.82	$169.82	$181.97
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $147.91	Facility		$120.23	$120.23	$147.91
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $158.49 / $288.40	Professional		$104.71	$158.49	$288.40
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $288.40 / $363.08	Professional		$109.65	$288.40	$363.08
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $114.82 / $199.53	Facility		$81.28	$114.82	$199.53
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $134.90 / $204.17	Professional		$79.43	$134.90	$204.17
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $199.53 / $346.74	Facility		$177.83	$199.53	$346.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $154.88 / $269.15	Professional		$102.33	$154.88	$269.15

Pennsylvania rates for HCPCS G0402