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 $457.09 / $3,090.30 / $8,128.31	Facility	$457.09	$3,090.30	$8,128.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $323.59 / $794.33	Professional	$114.82	$323.59	$794.33
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,019.95 / $4,570.88 / $19,952.62	Facility	$3,019.95	$4,570.88	$19,952.62
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,801.89 / $4,466.84 / $57,543.99	Facility	$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $194.98 / $524.81	Professional	$181.97	$194.98	$524.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $257.04 / $954.99	Professional	$120.23	$257.04	$954.99
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $602.56 / $758.58	Professional	$436.52	$602.56	$758.58
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $478.63 / $1,096.48	Professional	$177.83	$478.63	$1,096.48
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,398.83 / $4,466.84 / $7,762.47	Facility	$2,398.83	$4,466.84	$7,762.47
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $3,630.78 / $10,000.00	Facility	$2,344.23	$3,630.78	$10,000.00
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $1,819.70 / $7,413.10	Facility	$257.04	$1,819.70	$7,413.10
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $354.81 / $954.99	Professional	$117.49	$354.81	$954.99
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $549.54 / $1,148.15	Professional	$263.03	$549.54	$1,148.15
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $407.38 / $630.96	Facility	$125.89	$407.38	$630.96
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $380.19 / $776.25	Professional	$123.03	$380.19	$776.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $2,951.21 / $5,888.44	Facility	$1,000.00	$2,951.21	$5,888.44
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $281.84 / $794.33	Professional	$117.49	$281.84	$794.33

Pennsylvania rates for HCPCS 20225