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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $575.44 / $1,479.11	Facility	$154.88	$575.44	$1,479.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $158.49 / $616.60	Professional	$120.23	$158.49	$616.60
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $223.87 / $229.09	Professional	$223.87	$223.87	$229.09
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $2,041.74 / $2,691.53	Facility	$1,023.29	$2,041.74	$2,691.53
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $218.78 / $218.78	Professional	$169.82	$218.78	$218.78
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility	$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Professional	$288.40	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $275.42	Facility	$173.78	$173.78	$275.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $181.97	Professional	$128.82	$128.82	$181.97
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $389.05 / $562.34	Professional	$269.15	$389.05	$562.34
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Facility	$295.12	$295.12	$295.12
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $208.93 / $295.12	Professional	$177.83	$208.93	$295.12
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $676.08 / $1,318.26	Facility	$426.58	$676.08	$1,318.26
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $223.87 / $309.03	Professional	$204.17	$223.87	$309.03
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $1,023.29 / $2,691.53	Facility	$1,000.00	$1,023.29	$2,691.53
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Professional	$218.78	$218.78	$218.78
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $758.58 / $1,737.80	Facility	$131.83	$758.58	$1,737.80
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $158.49 / $302.00	Professional	$125.89	$158.49	$302.00
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $457.09	Professional	$100.00	$100.00	$457.09
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $208.93 / $416.87	Facility	$29.51	$208.93	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $275.42 / $416.87	Professional	$208.93	$275.42	$416.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $363.08 / $416.87	Facility	$131.83	$363.08	$416.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $144.54 / $295.12	Professional	$112.20	$144.54	$295.12

Pennsylvania rates for HCPCS L3913