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 $933.25 / $3,715.35 / $8,317.64	Facility	$933.25	$3,715.35	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $870.96 / $2,238.72	Professional	$676.08	$870.96	$2,238.72
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,230.27	Professional	$1,148.15	$1,148.15	$1,230.27
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $6,165.95 / $57,543.99	Facility	$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,348.96 / $1,995.26	Professional	$1,318.26	$1,348.96	$1,995.26
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $891.25 / $1,548.82	Professional	$537.03	$891.25	$1,548.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,148.15 / $1,258.93	Professional	$758.58	$1,148.15	$1,258.93
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $977.24 / $1,258.93	Professional	$691.83	$977.24	$1,258.93
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,187.76 / $4,265.80 / $10,964.78	Facility	$2,187.76	$4,265.80	$10,964.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $851.14 / $851.14	Professional	$851.14	$851.14	$851.14
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $2,454.71 / $8,317.64	Facility	$724.44	$2,454.71	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $912.01 / $1,659.59	Professional	$691.83	$912.01	$1,659.59
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $1,380.38 / $3,162.28	Professional	$794.33	$1,380.38	$3,162.28
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $407.38 / $407.38 / $776.25	Facility	$407.38	$407.38	$776.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $467.74 / $776.25	Professional	$407.38	$467.74	$776.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $933.25 / $3,162.28 / $11,481.54	Facility	$933.25	$3,162.28	$11,481.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $870.96 / $1,548.82	Professional	$630.96	$870.96	$1,548.82

Pennsylvania rates for HCPCS 13160