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 $467.74 / $2,570.40 / $7,762.47	Facility	$467.74	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $457.09 / $891.25	Professional	$223.87	$457.09	$891.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Professional	$190.55	$190.55	$190.55
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $2,691.53 / $57,543.99	Facility	$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $346.74 / $707.95	Professional	$316.23	$346.74	$707.95
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $380.19 / $933.25 / $1,778.28	Facility	$380.19	$933.25	$1,778.28
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $426.58 / $794.33	Professional	$239.88	$426.58	$794.33
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $457.09 / $457.09	Facility	$457.09	$457.09	$457.09
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $691.83 / $1,122.02	Professional	$426.58	$691.83	$1,122.02
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $954.99 / $1,122.02	Facility	$724.44	$954.99	$1,122.02
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $549.54 / $870.96	Professional	$281.84	$549.54	$870.96
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $2,344.23 / $3,981.07	Facility	$812.83	$2,344.23	$3,981.07
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Professional	$245.47	$245.47	$245.47
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $891.25 / $891.25 / $7,585.78	Facility	$891.25	$891.25	$7,585.78
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $1,584.89 / $6,606.93	Facility	$398.11	$1,584.89	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $478.63 / $954.99	Professional	$229.09	$478.63	$954.99
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $562.34 / $1,000.00 / $5,754.40	Facility	$562.34	$1,000.00	$5,754.40
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $912.01 / $1,148.15	Professional	$562.34	$912.01	$1,148.15
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $218.78 / $416.87 / $630.96	Facility	$218.78	$416.87	$630.96
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $416.87 / $512.86	Professional	$218.78	$416.87	$512.86
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $2,398.83 / $4,265.80	Facility	$588.84	$2,398.83	$4,265.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $426.58 / $741.31	Professional	$208.93	$426.58	$741.31

Pennsylvania rates for HCPCS 45384