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 $120.23 / $120.23 / $147.91	Facility		$120.23	$120.23	$147.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $173.78 / $346.74	Professional		$131.83	$173.78	$346.74
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $114.82 / $194.98 / $331.13	Professional	25	$114.82	$194.98	$331.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $134.90 / $162.18	Professional		$60.26	$134.90	$162.18
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $50.12 / $131.83 / $154.88	Professional	25	$50.12	$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 $165.96 / $169.82 / $275.42	Professional		$165.96	$169.82	$275.42
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $257.04 / $257.04	Facility		$95.50	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $165.96	Professional		$141.25	$141.25	$165.96
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $251.19 / $354.81	Professional		$181.97	$251.19	$354.81
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $208.93 / $331.13	Professional		$165.96	$208.93	$331.13
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $151.36 / $177.83	Professional		$141.25	$151.36	$177.83
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Professional	25	$151.36	$151.36	$151.36
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 $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $186.21 / $331.13	Professional		$131.83	$186.21	$331.13
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $302.00 / $380.19	Professional		$120.23	$302.00	$380.19
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $199.53 / $199.53	Facility		$79.43	$199.53	$199.53
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $199.53 / $416.87	Professional		$79.43	$199.53	$416.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $190.55	Facility		$173.78	$173.78	$190.55
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $186.21 / $323.59	Professional		$138.04	$186.21	$323.59

Pennsylvania rates for HCPCS G0438