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 $102.33 / $2,137.96 / $7,244.36	Facility		$102.33	$2,137.96	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $3,715.35 / $3,715.35 / $3,715.35	Facility	50	$3,715.35	$3,715.35	$3,715.35
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $190.55 / $549.54	Professional		$47.86	$190.55	$549.54
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $218.78 / $371.54 / $2,041.74	Professional	50	$218.78	$371.54	$2,041.74
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $239.88 / $562.34	Professional		$234.42	$239.88	$562.34
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $346.74 / $363.08 / $851.14	Professional	50	$346.74	$363.08	$851.14
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $186.21 / $524.81	Professional		$48.98	$186.21	$524.81
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $354.81 / $416.87	Professional		$263.03	$354.81	$416.87
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $323.59 / $512.86	Professional		$56.23	$323.59	$512.86
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $9,549.93 / $12,022.64	Facility		$141.25	$9,549.93	$12,022.64
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $66.07 / $199.53	Professional		$63.10	$66.07	$199.53
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional	50	$93.33	$93.33	$93.33
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $1,584.89 / $6,606.93	Facility		$309.03	$1,584.89	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $257.04 / $691.83	Professional		$51.29	$257.04	$691.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $630.96 / $724.44	Professional		$436.52	$630.96	$724.44
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.10 / $50.12 / $1,174.90	Facility		$1.10	$50.12	$1,174.90
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $50.12 / $269.15	Professional		$26.30	$50.12	$269.15
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $575.44 / $4,466.84	Facility		$162.18	$575.44	$4,466.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $263.03 / $512.86	Professional		$47.86	$263.03	$512.86

Pennsylvania rates for HCPCS 36005