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 $114.82 / $1,230.27 / $4,466.84	Facility		$114.82	$1,230.27	$4,466.84
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,122.02 / $3,019.95 / $4,466.84	Facility	50	$1,122.02	$3,019.95	$4,466.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $104.71 / $338.84	Professional		$48.98	$104.71	$338.84
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $72.44 / $134.90 / $436.52	Professional	50	$72.44	$134.90	$436.52
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $100.00 / $112.20	Professional		$39.81	$100.00	$112.20
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $151.36 / $151.36 / $165.96	Professional	50	$151.36	$151.36	$165.96
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $117.49 / $125.89	Professional		$53.70	$117.49	$125.89
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,570.40 / $57,543.99	Facility		$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $141.25 / $190.55	Professional		$107.15	$141.25	$190.55
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $158.49 / $218.78 / $281.84	Professional	50	$158.49	$218.78	$281.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $100.00 / $213.80	Professional		$54.95	$100.00	$213.80
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $194.98 / $239.88	Professional		$141.25	$194.98	$239.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $154.88 / $223.87	Professional		$100.00	$154.88	$223.87
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $912.01 / $1,202.26	Facility		$467.74	$912.01	$1,202.26
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $645.65 / $645.65 / $831.76	Facility	50	$645.65	$645.65	$831.76
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $102.33 / $173.78	Professional		$48.98	$102.33	$173.78
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $72.44 / $75.86 / $79.43	Professional	50	$72.44	$75.86	$79.43
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,165.95 / $6,165.95 / $7,762.47	Facility		$6,165.95	$6,165.95	$7,762.47
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $117.49 / $125.89	Professional		$53.70	$117.49	$125.89
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $1,047.13 / $5,754.40	Facility		$64.57	$1,047.13	$5,754.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $104.71 / $218.78	Professional		$48.98	$104.71	$218.78
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $954.99 / $6,606.93	Facility		$758.58	$954.99	$6,606.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $245.47 / $269.15	Professional		$173.78	$245.47	$269.15
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $66.07 / $190.55	Facility		$47.86	$66.07	$190.55
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $66.07 / $114.82	Professional		$23.99	$66.07	$114.82
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $575.44 / $4,466.84	Facility		$162.18	$575.44	$4,466.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $97.72 / $186.21	Professional		$48.98	$97.72	$186.21

Pennsylvania rates for HCPCS 64484