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 / $4,786.30 / $8,317.64	Facility	$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $870.96 / $2,290.87	Professional	$741.31	$870.96	$2,290.87
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 $1,258.93 / $1,258.93 / $1,258.93	Professional	$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $1,023.29 / $1,584.89	Professional	$218.78	$1,023.29	$1,584.89
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,174.90 / $1,258.93	Professional	$1,174.90	$1,174.90	$1,258.93
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $1,023.29 / $1,584.89	Professional	$794.33	$1,023.29	$1,584.89
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $10,964.78 / $10,964.78 / $10,964.78	Facility	$10,964.78	$10,964.78	$10,964.78
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $3,630.78 / $8,317.64	Facility	$831.76	$3,630.78	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $912.01 / $2,041.74	Professional	$741.31	$912.01	$2,041.74
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,230.27 / $1,698.24	Professional	$1,096.48	$1,230.27	$1,698.24
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $794.33 / $1,000.00 / $1,318.26	Facility	$794.33	$1,000.00	$1,318.26
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $831.76 / $1,318.26	Professional	$776.25	$831.76	$1,318.26
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $4,897.79 / $11,220.18	Facility	$2,137.96	$4,897.79	$11,220.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $954.99 / $1,659.59	Professional	$691.83	$954.99	$1,659.59

Pennsylvania rates for HCPCS 54312