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 $81.28 / $316.23 / $316.23	Facility	$81.28	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $112.20 / $213.80	Professional	$81.28	$112.20	$213.80
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $199.53	Professional	$154.88	$154.88	$199.53
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $123.03 / $147.91	Professional	$97.72	$123.03	$147.91
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 $199.53 / $199.53 / $199.53	Professional	$199.53	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $199.53	Facility	$125.89	$125.89	$199.53
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $125.89	Professional	$93.33	$93.33	$125.89
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $263.03 / $380.19	Professional	$186.21	$263.03	$380.19
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility	$199.53	$199.53	$199.53
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $141.25 / $199.53	Professional	$120.23	$141.25	$199.53
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $147.91 / $194.98	Professional	$131.83	$147.91	$194.98
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $123.03 / $141.25	Professional	$97.72	$123.03	$141.25
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Facility	$81.28	$81.28	$81.28
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $107.15 / $162.18	Professional	$81.28	$107.15	$162.18
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $77.62 / $181.97	Professional	$50.12	$77.62	$181.97
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $141.25 / $186.21	Facility	$107.15	$141.25	$186.21
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $186.21 / $309.03	Professional	$141.25	$186.21	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $245.47 / $281.84	Facility	$89.13	$245.47	$281.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $100.00 / $218.78	Professional	$77.62	$100.00	$218.78

Pennsylvania rates for HCPCS L4397