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 $1,047.13 / $5,754.40 / $8,511.38	Facility	$1,047.13	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,380.38 / $2,454.71	Professional	$1,174.90	$1,380.38	$2,454.71
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $20,417.38 / $21,379.62 / $57,543.99	Facility	$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,819.70 / $1,905.46 / $1,995.26	Professional	$1,819.70	$1,905.46	$1,995.26
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $794.33 / $2,187.76	Facility	$489.78	$794.33	$2,187.76
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,548.82 / $2,754.23	Professional	$1,096.48	$1,548.82	$2,754.23
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,884.03 / $2,884.03 / $2,884.03	Facility	$2,884.03	$2,884.03	$2,884.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,380.38 / $1,862.09 / $2,570.40	Professional	$1,380.38	$1,862.09	$2,570.40
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,230.27 / $1,445.44 / $2,238.72	Professional	$1,230.27	$1,445.44	$2,238.72
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $3,981.07 / $8,317.64	Facility	$831.76	$3,981.07	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,348.96 / $2,137.96	Professional	$1,148.15	$1,348.96	$2,137.96
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,621.81 / $1,621.81 / $1,621.81	Facility	$1,621.81	$1,621.81	$1,621.81
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,621.81 / $2,344.23 / $2,884.03	Professional	$1,621.81	$2,344.23	$2,884.03
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,258.93 / $1,258.93 / $1,412.54	Facility	$1,258.93	$1,258.93	$1,412.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,202.26 / $1,288.25 / $1,412.54	Professional	$1,202.26	$1,288.25	$1,412.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $2,290.87 / $6,309.57	Facility	$398.11	$2,290.87	$6,309.57
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,445.44 / $2,511.89	Professional	$1,096.48	$1,445.44	$2,511.89

Pennsylvania rates for HCPCS 43045