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 $151.36 / $1,047.13 / $4,265.80	Facility		$151.36	$1,047.13	$4,265.80
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $371.54 / $371.54 / $602.56	Facility	52	$371.54	$371.54	$602.56
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $158.49 / $489.78	Professional		$87.10	$158.49	$489.78
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $125.89 / $147.91	Professional		$75.86	$125.89	$147.91
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $112.20	Professional		$87.10	$87.10	$112.20
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,230.27 / $57,543.99	Facility		$1,174.90	$1,230.27	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $239.88 / $239.88	Professional		$131.83	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $131.83 / $213.80	Professional		$93.33	$131.83	$213.80
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.79 / $95.50 / $223.87	Professional		$4.79	$95.50	$223.87
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $147.91 / $213.80	Professional		$104.71	$147.91	$213.80
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $870.96 / $1,698.24	Facility		$467.74	$870.96	$1,698.24
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $91.20 / $109.65	Professional		$83.18	$91.20	$109.65
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $112.20 / $112.20	Professional		$87.10	$112.20	$112.20
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $891.25 / $4,786.30	Facility		$117.49	$891.25	$4,786.30
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $128.82 / $257.04	Professional		$85.11	$128.82	$257.04
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $223.87 / $524.81	Professional		$117.49	$223.87	$524.81
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $89.13 / $125.89	Facility		$75.86	$89.13	$125.89
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $91.20 / $125.89	Professional		$75.86	$91.20	$125.89
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $977.24 / $3,890.45	Facility		$363.08	$977.24	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $120.23 / $208.93	Professional		$79.43	$120.23	$208.93

Pennsylvania rates for HCPCS 10160