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 $645.65 / $3,890.45 / $8,317.64	Facility	$645.65	$3,890.45	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $446.68 / $1,148.15	Professional	$269.15	$446.68	$1,148.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Professional	$263.03	$263.03	$263.03
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $602.56 / $776.25	Professional	$524.81	$602.56	$776.25
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $7,585.78 / $57,543.99	Facility	$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $416.87 / $416.87	Professional	$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $436.52 / $758.58	Professional	$263.03	$436.52	$758.58
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $741.31 / $776.25	Professional	$741.31	$741.31	$776.25
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $575.44 / $851.14	Professional	$302.00	$575.44	$851.14
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $5,370.32 / $9,120.11	Facility	$2,511.89	$5,370.32	$9,120.11
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $602.56 / $691.83	Professional	$602.56	$602.56	$691.83
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $2,454.71 / $8,317.64	Facility	$575.44	$2,454.71	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $467.74 / $1,023.29	Professional	$269.15	$467.74	$1,023.29
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $851.14 / $954.99	Professional	$691.83	$851.14	$954.99
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $407.38 / $776.25	Facility	$95.50	$407.38	$776.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $407.38 / $467.74	Professional	$257.04	$407.38	$467.74
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $3,715.35 / $6,760.83	Facility	$1,659.59	$3,715.35	$6,760.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $436.52 / $741.31	Professional	$269.15	$436.52	$741.31

Pennsylvania rates for HCPCS 52315