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 $204.17 / $1,584.89 / $7,244.36	Facility	$204.17	$1,584.89	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $162.18 / $389.05	Professional	$112.20	$162.18	$389.05
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,912.51 / $40,738.03 / $64,565.42	Facility	$8,912.51	$40,738.03	$64,565.42
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $169.82	Professional	$147.91	$147.91	$169.82
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,398.83 / $57,543.99	Facility	$2,344.23	$2,398.83	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $147.91 / $245.47	Professional	$125.89	$147.91	$245.47
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $151.36 / $239.88	Professional	$114.82	$151.36	$239.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $239.88 / $251.19	Professional	$239.88	$239.88	$251.19
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $177.83 / $245.47	Professional	$107.15	$177.83	$245.47
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $831.76 / $1,819.70	Facility	$478.63	$831.76	$1,819.70
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Professional	$138.04	$138.04	$138.04
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,951.21 / $28,183.83 / $56,234.13	Facility	$2,951.21	$28,183.83	$56,234.13
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $169.82	Professional	$147.91	$147.91	$169.82
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $1,288.25 / $6,165.95	Facility	$186.21	$1,288.25	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $151.36 / $281.84	Professional	$109.65	$151.36	$281.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $199.53 / $281.84	Professional	$165.96	$199.53	$281.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $144.54 / $416.87	Facility	$70.79	$144.54	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $144.54 / $416.87	Professional	$70.79	$144.54	$416.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $724.44 / $3,890.45	Facility	$363.08	$724.44	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $141.25 / $245.47	Professional	$109.65	$141.25	$245.47

Pennsylvania rates for HCPCS 56405