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 $128.82 / $1,230.27 / $7,244.36	Facility	$128.82	$1,230.27	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $69.18 / $323.59	Professional	$20.89	$69.18	$323.59
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $69.18 / $69.18	Professional	$69.18	$69.18	$69.18
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,445.44 / $3,467.37 / $5,248.07	Facility	$1,445.44	$3,467.37	$5,248.07
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $48.98 / $48.98	Professional	$19.95	$48.98	$48.98
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 $47.86 / $75.86 / $89.13	Professional	$47.86	$75.86	$89.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $45.71 / $87.10	Professional	$21.38	$45.71	$87.10
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $75.86 / $83.18	Professional	$50.12	$75.86	$83.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $57.54 / $79.43	Professional	$38.90	$57.54	$79.43
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $48.98 / $190.55 / $309.03	Facility	$48.98	$190.55	$309.03
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $48.98 / $56.23	Professional	$31.62	$48.98	$56.23
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $3,235.94 / $4,897.79	Facility	$1,380.38	$3,235.94	$4,897.79
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $48.98 / $50.12	Professional	$19.95	$48.98	$50.12
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,995.26 / $7,244.36	Facility	$537.03	$1,995.26	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $43.65 / $85.11	Professional	$19.05	$43.65	$85.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $61.66 / $61.66	Professional	$58.88	$61.66	$61.66
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $20.89 / $57.54	Facility	$17.78	$20.89	$57.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $25.70 / $74.13	Professional	$17.78	$25.70	$74.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $630.96 / $4,466.84	Facility	$162.18	$630.96	$4,466.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $43.65 / $83.18	Professional	$20.42	$43.65	$83.18

Pennsylvania rates for HCPCS 11103