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 $70.79 / $70.79 / $70.79	Facility	$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $81.28	Professional	$70.79	$70.79	$81.28
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $251.19 / $5,011.87	Facility	$213.80	$251.19	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $251.19	Professional	$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $446.68 / $478.63	Facility	$125.89	$446.68	$478.63
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional	$125.89	$125.89	$125.89
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $257.04 / $263.03	Professional	$154.88	$257.04	$263.03
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $169.82 / $257.04	Professional	$120.23	$169.82	$257.04
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Facility	$70.79	$70.79	$70.79
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $77.62	Professional	$70.79	$70.79	$77.62
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $194.98 / $245.47	Professional	$0.60	$194.98	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $208.93	Facility	$81.28	$81.28	$208.93
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $208.93	Professional	$81.28	$81.28	$208.93
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Facility	$154.88	$154.88	$154.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $125.89 / $213.80	Professional	$74.13	$125.89	$213.80

Pennsylvania rates for HCPCS Q4197