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 $724.44 / $2,691.53 / $8,317.64	Facility	$724.44	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $165.96 / $302.00	Professional	$104.71	$165.96	$302.00
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 $154.88 / $316.23 / $316.23	Professional	$154.88	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $181.97 / $323.59	Facility	$50.12	$181.97	$323.59
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $169.82 / $295.12	Professional	$109.65	$169.82	$295.12
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 $194.98 / $269.15 / $380.19	Professional	$194.98	$269.15	$380.19
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $218.78 / $223.87	Facility	$138.04	$218.78	$223.87
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $186.21 / $302.00	Professional	$114.82	$186.21	$302.00
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,995.26 / $7,244.36	Facility	$537.03	$1,995.26	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $169.82 / $549.54	Professional	$107.15	$169.82	$549.54
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Facility	$151.36	$151.36	$151.36
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $331.13 / $398.11	Professional	$151.36	$331.13	$398.11
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.38 / $75.86 / $173.78	Facility	$17.38	$75.86	$173.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $112.20 / $186.21	Professional	$64.57	$112.20	$186.21
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $954.99 / $3,019.95	Facility	$91.20	$954.99	$3,019.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $154.88 / $269.15	Professional	$95.50	$154.88	$269.15

Pennsylvania rates for HCPCS 42280