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 $954.99 / $3,801.89 / $8,317.64	Facility	$954.99	$3,801.89	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $158.49 / $275.42	Professional	$104.71	$158.49	$275.42
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 $128.82 / $165.96 / $275.42	Professional	$128.82	$165.96	$275.42
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $338.84 / $831.76	Facility	$181.97	$338.84	$831.76
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $165.96 / $309.03	Professional	$107.15	$165.96	$309.03
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $223.87 / $223.87	Facility	$223.87	$223.87	$223.87
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $229.09 / $331.13	Professional	$169.82	$229.09	$331.13
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $204.17 / $229.09	Facility	$154.88	$204.17	$229.09
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $165.96 / $263.03	Professional	$112.20	$165.96	$263.03
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $407.38 / $524.81 / $812.83	Facility	$407.38	$524.81	$812.83
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $2,570.40 / $8,317.64	Facility	$724.44	$2,570.40	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $158.49 / $501.19	Professional	$104.71	$158.49	$501.19
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Facility	$154.88	$154.88	$154.88
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $295.12 / $436.52	Professional	$154.88	$295.12	$436.52
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $134.90 / $407.38	Facility	$100.00	$134.90	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $134.90 / $407.38	Professional	$100.00	$134.90	$407.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $575.44 / $3,019.95	Facility	$91.20	$575.44	$3,019.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $144.54 / $251.19	Professional	$93.33	$144.54	$251.19

Pennsylvania rates for HCPCS 42000