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 $91.20 / $1,584.89 / $7,244.36	Facility		$91.20	$1,584.89	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $275.42 / $851.14 / $3,981.07	Facility	50	$275.42	$851.14	$3,981.07
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $85.11 / $239.88	Professional		$47.86	$85.11	$239.88
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $74.13 / $128.82 / $416.87	Professional	50	$74.13	$128.82	$416.87
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $128.82 / $169.82	Professional		$87.10	$128.82	$169.82
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $131.83 / $194.98 / $257.04	Professional	50	$131.83	$194.98	$257.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $91.20 / $154.88	Professional		$56.23	$91.20	$154.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $162.18 / $204.17	Professional		$117.49	$162.18	$204.17
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $117.49 / $165.96	Professional		$81.28	$117.49	$165.96
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $562.34 / $1,995.26	Facility		$138.04	$562.34	$1,995.26
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $467.74 / $467.74 / $3,890.45	Facility	50	$467.74	$467.74	$3,890.45
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $1,348.96 / $6,165.95	Facility		$81.28	$1,348.96	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $87.10 / $181.97	Professional		$48.98	$87.10	$181.97
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $741.31 / $933.25 / $6,606.93	Facility		$741.31	$933.25	$6,606.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $147.91 / $204.17	Professional		$102.33	$147.91	$204.17
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $91.20 / $218.78	Facility		$50.12	$91.20	$218.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $93.33 / $218.78	Professional		$48.98	$93.33	$218.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $630.96 / $4,466.84	Facility		$162.18	$630.96	$4,466.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $85.11 / $151.36	Professional		$47.86	$85.11	$151.36

Pennsylvania rates for HCPCS 64495