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 $1,047.13 / $4,265.80 / $10,232.93	Facility	$1,047.13	$4,265.80	$10,232.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $954.99 / $3,019.95	Professional	$676.08	$954.99	$3,019.95
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $7,585.78 / $57,543.99	Facility	$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $1,096.48 / $1,380.38	Professional	$794.33	$1,096.48	$1,380.38
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $912.01 / $1,548.82	Professional	$645.65	$912.01	$1,548.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,202.26 / $1,548.82	Professional	$891.25	$1,202.26	$1,548.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $933.25 / $1,380.38	Professional	$724.44	$933.25	$1,380.38
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,691.53 / $16,982.44 / $33,113.11	Facility	$2,691.53	$16,982.44	$33,113.11
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $912.01 / $1,380.38	Professional	$758.58	$912.01	$1,380.38
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $2,570.40 / $8,511.38	Facility	$831.76	$2,570.40	$8,511.38
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $912.01 / $1,862.09	Professional	$691.83	$912.01	$1,862.09
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,148.15 / $1,584.89	Professional	$933.25	$1,148.15	$1,584.89
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 / $407.38 / $776.25	Professional	$407.38	$407.38	$776.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $3,981.07 / $23,442.29	Facility	$1,659.59	$3,981.07	$23,442.29
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $870.96 / $1,621.81	Professional	$630.96	$870.96	$1,621.81

Pennsylvania rates for HCPCS 24538