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 $257.04 / $3,630.78 / $9,549.93	Facility		$257.04	$3,630.78	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,754.23 / $7,079.46 / $15,135.61	Facility	50	$2,754.23	$7,079.46	$15,135.61
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $288.40 / $794.33	Professional		$158.49	$288.40	$794.33
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $331.13 / $549.54 / $1,148.15	Professional	50	$331.13	$549.54	$1,148.15
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $331.13 / $331.13 / $457.09	Professional	50	$331.13	$331.13	$457.09
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,630.78 / $5,011.87 / $27,542.29	Facility		$3,630.78	$5,011.87	$27,542.29
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $467.74	Professional		$269.15	$269.15	$467.74
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $363.08 / $467.74	Professional		$245.47	$363.08	$467.74
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $346.74 / $549.54 / $691.83	Professional	50	$346.74	$549.54	$691.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $281.84 / $446.68	Professional		$173.78	$281.84	$446.68
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $436.52 / $457.09	Professional		$436.52	$436.52	$457.09
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $354.81 / $537.03	Professional		$204.17	$354.81	$537.03
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,548.82 / $4,570.88 / $15,135.61	Facility		$1,548.82	$4,570.88	$15,135.61
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $933.25 / $3,630.78 / $9,332.54	Facility	50	$933.25	$3,630.78	$9,332.54
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,398.83 / $4,365.16 / $10,964.78	Facility		$2,398.83	$4,365.16	$10,964.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $309.03	Professional		$269.15	$269.15	$309.03
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $1,584.89 / $6,760.83	Facility		$234.42	$1,584.89	$6,760.83
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $3,715.35 / $8,317.64 / $10,000.00	Facility	50	$3,715.35	$8,317.64	$10,000.00
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $288.40 / $616.60	Professional		$162.18	$288.40	$616.60
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $398.11 / $562.34	Professional		$302.00	$398.11	$562.34
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $354.81 / $407.38	Facility		$154.88	$354.81	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $323.59 / $407.38	Professional		$154.88	$323.59	$407.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $2,951.21 / $6,025.60	Facility		$1,000.00	$2,951.21	$6,025.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $245.47 / $446.68	Professional		$147.91	$245.47	$446.68

Pennsylvania rates for HCPCS 31237