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 $741.31 / $5,370.32 / $8,709.64	Facility	$741.31	$5,370.32	$8,709.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $741.31 / $1,479.11	Professional	$630.96	$741.31	$1,479.11
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 $977.24 / $1,047.13 / $1,148.15	Professional	$977.24	$1,047.13	$1,148.15
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $794.33 / $1,230.27	Facility	$489.78	$794.33	$1,230.27
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $812.83 / $1,412.54	Professional	$537.03	$812.83	$1,412.54
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,548.82 / $1,548.82 / $1,548.82	Facility	$1,548.82	$1,548.82	$1,548.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $1,023.29 / $1,380.38	Professional	$741.31	$1,023.29	$1,380.38
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $758.58 / $1,202.26	Professional	$645.65	$758.58	$1,202.26
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $933.25 / $933.25 / $4,073.80	Facility	$933.25	$933.25	$4,073.80
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $3,801.89 / $8,317.64	Facility	$724.44	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $741.31 / $1,513.56	Professional	$616.60	$741.31	$1,513.56
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Facility	$645.65	$645.65	$645.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $1,230.27 / $1,513.56	Professional	$645.65	$1,230.27	$1,513.56
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $831.76 / $933.25	Facility	$602.56	$831.76	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $831.76 / $933.25	Professional	$645.65	$831.76	$933.25
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 $562.34 / $776.25 / $1,318.26	Professional	$562.34	$776.25	$1,318.26

Pennsylvania rates for HCPCS 43520