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 $263.03 / $2,630.27 / $8,317.64	Facility		$263.03	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $316.23 / $1,000.00	Professional		$138.04	$316.23	$1,000.00
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $13,489.63 / $13,489.63 / $13,489.63	Facility		$13,489.63	$13,489.63	$13,489.63
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $218.78	Professional		$190.55	$190.55	$218.78
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $288.40 / $549.54	Professional		$169.82	$288.40	$549.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $537.03 / $562.34	Professional		$537.03	$537.03	$562.34
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $380.19 / $537.03	Professional		$213.80	$380.19	$537.03
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,862.09 / $6,760.83 / $11,220.18	Facility		$1,862.09	$6,760.83	$11,220.18
Highmark BCBS Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $10,964.78 / $10,964.78 / $10,964.78	Facility	53	$10,964.78	$10,964.78	$10,964.78
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $13,489.63 / $13,489.63 / $13,489.63	Facility		$13,489.63	$13,489.63	$13,489.63
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $218.78	Professional		$190.55	$190.55	$218.78
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $1,348.96 / $6,606.93	Facility		$239.88	$1,348.96	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $316.23 / $707.95	Professional		$141.25	$316.23	$707.95
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $489.78 / $691.83	Professional		$295.12	$489.78	$691.83
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $309.03 / $354.81	Facility		$147.91	$309.03	$354.81
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $309.03 / $380.19	Professional		$144.54	$309.03	$380.19
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $3,981.07 / $10,471.29	Facility		$1,659.59	$3,981.07	$10,471.29
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $269.15 / $512.86	Professional		$158.49	$269.15	$512.86

Pennsylvania rates for HCPCS 58555