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 $707.95 / $4,073.80 / $10,232.93	Facility		$707.95	$4,073.80	$10,232.93
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $4,786.30 / $7,762.47 / $25,703.96	Facility	50	$4,786.30	$7,762.47	$25,703.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $1,000.00 / $2,630.27	Professional		$309.03	$1,000.00	$2,630.27
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $457.09 / $1,548.82 / $4,677.35	Professional	50	$457.09	$1,548.82	$4,677.35
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $177.83 / $501.19	Professional		$144.54	$177.83	$501.19
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $676.08 / $676.08 / $676.08	Professional	50	$676.08	$676.08	$676.08
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $39,810.72 / $39,810.72 / $39,810.72	Facility		$39,810.72	$39,810.72	$39,810.72
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $177.83 / $288.40	Professional		$177.83	$177.83	$288.40
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 $1,584.89 / $1,659.59 / $2,884.03	Professional		$1,584.89	$1,659.59	$2,884.03
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $2,398.83 / $2,454.71 / $4,365.16	Professional	50	$2,398.83	$2,454.71	$4,365.16
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $794.33 / $2,754.23	Professional		$331.13	$794.33	$2,754.23
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,041.74 / $2,818.38 / $3,311.31	Professional		$2,041.74	$2,818.38	$3,311.31
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $1,862.09 / $3,548.13	Professional		$457.09	$1,862.09	$3,548.13
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,290.87 / $11,481.54 / $28,840.32	Facility		$2,290.87	$11,481.54	$28,840.32
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,187.76 / $11,481.54 / $28,183.83	Facility	50	$2,187.76	$11,481.54	$28,183.83
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $398.11 / $1,819.70	Professional		$354.81	$398.11	$1,819.70
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $575.44 / $645.65 / $1,513.56	Professional	50	$575.44	$645.65	$1,513.56
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $39,810.72 / $39,810.72 / $39,810.72	Facility		$39,810.72	$39,810.72	$39,810.72
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $177.83 / $186.21	Professional		$177.83	$177.83	$186.21
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $2,454.71 / $8,317.64	Facility		$549.54	$2,454.71	$8,317.64
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $25,118.86 / $25,118.86 / $25,703.96	Facility	50	$25,118.86	$25,118.86	$25,703.96
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $1,318.26 / $3,467.37	Professional		$346.74	$1,318.26	$3,467.37
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $2,398.83 / $3,715.35	Professional		$338.84	$2,398.83	$3,715.35
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $1,380.38 / $1,584.89	Facility		$295.12	$1,380.38	$1,584.89
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $1,380.38 / $1,584.89	Professional		$302.00	$1,380.38	$1,584.89
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,019.95 / $6,309.57 / $17,782.79	Facility		$3,019.95	$6,309.57	$17,782.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $1,548.82 / $2,818.38	Professional		$323.59	$1,548.82	$2,818.38
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $75.86 / $79.43 / $89.13	Professional	50	$75.86	$79.43	$89.13

Pennsylvania rates for HCPCS 36223