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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $1,905.46 / $6,456.54	Facility		$229.09	$1,905.46	$6,456.54
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $933.25 / $933.25 / $933.25	Facility	52	$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $257.04 / $812.83	Professional		$77.62	$257.04	$812.83
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $45.71 / $147.91 / $776.25	Professional	52	$45.71	$147.91	$776.25
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $21.38 / $34.67 / $275.42	Professional	53	$21.38	$34.67	$275.42
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $112.20 / $398.11	Professional		$69.18	$112.20	$398.11
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $17,378.01 / $17,378.01 / $17,378.01	Facility		$17,378.01	$17,378.01	$17,378.01
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $295.12 / $338.84	Professional		$97.72	$295.12	$338.84
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 $123.03 / $380.19 / $446.68	Professional		$123.03	$380.19	$446.68
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $208.93 / $363.08	Professional		$91.20	$208.93	$363.08
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $223.87 / $371.54	Professional		$20.42	$223.87	$371.54
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $257.04 / $380.19	Professional		$128.82	$257.04	$380.19
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $1,584.89 / $3,019.95	Facility		$954.99	$1,584.89	$3,019.95
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $346.74 / $354.81	Professional		$309.03	$346.74	$354.81
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $17,378.01 / $17,378.01 / $21,877.62	Facility		$17,378.01	$17,378.01	$21,877.62
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $295.12 / $331.13	Professional		$97.72	$295.12	$331.13
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $1,023.29 / $4,786.30	Facility		$102.33	$1,023.29	$4,786.30
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $218.78 / $467.74	Professional		$83.18	$218.78	$467.74
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,122.02 / $1,412.54 / $5,754.40	Facility		$1,122.02	$1,412.54	$5,754.40
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $323.59 / $457.09	Professional		$229.09	$323.59	$457.09
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $229.09 / $331.13	Facility		$77.62	$229.09	$331.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $229.09 / $309.03	Professional		$75.86	$229.09	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $1,548.82 / $3,890.45	Facility		$549.54	$1,548.82	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $181.97 / $331.13	Professional		$81.28	$181.97	$331.13

Pennsylvania rates for HCPCS 52000