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 $257.04 / $1,412.54 / $4,677.35	Facility		$257.04	$1,412.54	$4,677.35
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,288.25 / $2,041.74 / $3,162.28	Facility	50	$1,288.25	$2,041.74	$3,162.28
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $181.97 / $691.83	Professional		$56.23	$181.97	$691.83
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $83.18 / $190.55 / $741.31	Professional	50	$83.18	$190.55	$741.31
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $91.20 / $251.19	Professional		$50.12	$91.20	$251.19
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $69.18 / $77.62 / $354.81	Professional	50	$69.18	$77.62	$354.81
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $2,137.96 / $6,918.31	Facility		$1,380.38	$2,137.96	$6,918.31
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $144.54 / $204.17	Professional		$61.66	$144.54	$204.17
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $257.04 / $354.81	Professional		$223.87	$257.04	$354.81
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $338.84 / $389.05 / $537.03	Professional	50	$338.84	$389.05	$537.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $141.25 / $363.08	Professional		$63.10	$141.25	$363.08
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $346.74 / $524.81	Professional		$302.00	$346.74	$524.81
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $245.47 / $398.11	Professional		$64.57	$245.47	$398.11
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $954.99 / $2,691.53	Facility		$575.44	$954.99	$2,691.53
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,148.15 / $1,737.80 / $3,388.44	Facility	50	$1,148.15	$1,737.80	$3,388.44
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $58.88 / $234.42	Professional		$54.95	$58.88	$234.42
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $83.18 / $91.20 / $354.81	Professional	50	$83.18	$91.20	$354.81
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,258.93 / $1,698.24 / $6,760.83	Facility		$1,258.93	$1,698.24	$6,760.83
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $186.21 / $199.53	Professional		$61.66	$186.21	$199.53
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $1,023.29 / $5,754.40	Facility		$74.13	$1,023.29	$5,754.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $173.78 / $389.05	Professional		$56.23	$173.78	$389.05
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $3,162.28 / $6,606.93	Facility		$1,995.26	$3,162.28	$6,606.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $275.42 / $489.78	Professional		$213.80	$275.42	$489.78
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $162.18 / $891.25	Facility		$56.23	$162.18	$891.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $229.09 / $891.25	Professional		$56.23	$229.09	$891.25
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 $56.23 / $141.25 / $316.23	Professional		$56.23	$141.25	$316.23

Pennsylvania rates for HCPCS 64636