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 $37.15 / $162.18 / $257.04	Facility		$37.15	$162.18	$257.04
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $40.74 / $151.36 / $245.47	Facility	26	$40.74	$151.36	$245.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $42.66 / $158.49	Professional		$15.85	$42.66	$158.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $45.71 / $151.36	Professional	26	$18.20	$45.71	$151.36
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $42.66 / $85.11	Professional	26	$42.66	$42.66	$85.11
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $39.81 / $58.88	Professional	26	$34.67	$39.81	$58.88
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $85.11 / $85.11	Professional		$75.86	$85.11	$85.11
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $45.71 / $77.62	Professional	26	$28.84	$45.71	$77.62
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.16 / $5.37 / $13.49	Facility		$3.16	$5.37	$13.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $67.61 / $70.79	Professional		$45.71	$67.61	$70.79
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $63.10 / $66.07	Professional	26	$42.66	$63.10	$66.07
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $54.95 / $63.10	Professional		$48.98	$54.95	$63.10
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $45.71 / $75.86	Professional	26	$19.50	$45.71	$75.86
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $69.18 / $81.28	Professional	26	$14.79	$69.18	$81.28
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $39.81 / $58.88	Professional	26	$34.67	$39.81	$58.88
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $52.48	Facility		$37.15	$37.15	$52.48
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $48.98	Facility	26	$37.15	$37.15	$48.98
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $48.98 / $114.82	Professional		$16.98	$48.98	$114.82
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $44.67 / $100.00	Professional	26	$15.85	$44.67	$100.00
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $69.18 / $87.10	Professional		$0.60	$69.18	$87.10
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.90 / $18.62 / $53.70	Facility		$4.90	$18.62	$53.70
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $16.98 / $16.98 / $45.71	Facility	26	$16.98	$16.98	$45.71
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.90 / $32.36 / $67.61	Professional		$4.90	$32.36	$67.61
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $45.71 / $47.86	Professional	26	$16.98	$45.71	$47.86
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.94 / $7.94 / $11.22	Facility		$7.94	$7.94	$11.22
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $23.44 / $48.98	Professional		$16.22	$23.44	$48.98
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $23.99 / $45.71	Professional	26	$16.22	$23.99	$45.71

Pennsylvania rates for HCPCS G0452