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 $102.33 / $123.03 / $125.89	Facility		$102.33	$123.03	$125.89
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Facility	25	$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $125.89 / $229.09	Professional		$91.20	$125.89	$229.09
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $102.33 / $138.04 / $204.17	Professional	25	$102.33	$138.04	$204.17
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Professional	52	$123.03	$123.03	$123.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $123.03 / $141.25	Professional		$100.00	$123.03	$141.25
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $104.71 / $123.03 / $128.82	Professional	25	$104.71	$123.03	$128.82
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $138.04	Professional		$134.90	$134.90	$138.04
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 $120.23 / $134.90 / $190.55	Professional		$120.23	$134.90	$190.55
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $204.17 / $204.17	Facility		$95.50	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $125.89	Professional		$109.65	$109.65	$125.89
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $199.53 / $281.84	Professional		$144.54	$199.53	$281.84
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $162.18 / $257.04	Professional		$131.83	$162.18	$257.04
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $131.83 / $162.18	Professional		$112.20	$131.83	$162.18
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $117.49 / $120.23 / $125.89	Professional	25	$117.49	$120.23	$125.89
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $144.54	Professional		$134.90	$134.90	$144.54
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $117.49 / $123.03	Facility		$114.82	$117.49	$123.03
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $138.04 / $245.47	Professional		$93.33	$138.04	$245.47
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $204.17 / $263.03	Professional		$100.00	$204.17	$263.03
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $97.72 / $173.78	Facility		$26.92	$97.72	$173.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $123.03 / $177.83	Professional		$12.02	$123.03	$177.83
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $151.36	Facility		$138.04	$138.04	$151.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $131.83 / $223.87	Professional		$97.72	$131.83	$223.87

Pennsylvania rates for HCPCS G0439