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 $436.52 / $1,698.24 / $5,370.32	Facility		$436.52	$1,698.24	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $741.31 / $1,621.81 / $4,570.88	Facility	50	$741.31	$1,621.81	$4,570.88
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $575.44 / $575.44 / $575.44	Facility	52	$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $181.97 / $724.44	Professional		$93.33	$181.97	$724.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $151.36 / $204.17	Professional		$112.20	$151.36	$204.17
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $3,467.37 / $11,481.54	Facility		$2,570.40	$3,467.37	$11,481.54
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $112.20 / $346.74	Professional		$56.23	$112.20	$346.74
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,570.40 / $57,543.99	Facility		$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $436.52 / $691.83	Professional		$263.03	$436.52	$691.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $234.42 / $758.58	Professional		$120.23	$234.42	$758.58
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $512.86 / $524.81	Professional		$512.86	$512.86	$524.81
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $446.68 / $812.83	Professional		$125.89	$446.68	$812.83
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $851.14 / $1,479.11 / $2,570.40	Facility		$851.14	$1,479.11	$2,570.40
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,548.82 / $2,187.76 / $2,344.23	Facility	50	$1,548.82	$2,187.76	$2,344.23
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,096.48 / $1,096.48 / $1,096.48	Facility	52	$1,096.48	$1,096.48	$1,096.48
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $117.49 / $138.04	Professional		$117.49	$117.49	$138.04
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $851.14 / $3,019.95 / $5,754.40	Facility		$851.14	$3,019.95	$5,754.40
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $112.20 / $346.74	Professional		$56.23	$112.20	$346.74
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $1,318.26 / $5,623.41	Facility		$169.82	$1,318.26	$5,623.41
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $741.31 / $741.31 / $741.31	Facility	50	$741.31	$741.31	$741.31
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $309.03 / $724.44	Professional		$107.15	$309.03	$724.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $467.74 / $660.69	Professional		$208.93	$467.74	$660.69
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $218.78 / $933.25	Facility		$77.62	$218.78	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $218.78 / $707.95	Professional		$77.62	$218.78	$707.95
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $1,513.56 / $3,890.45	Facility		$575.44	$1,513.56	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $239.88 / $724.44	Professional		$104.71	$239.88	$724.44

Pennsylvania rates for HCPCS 32555