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 $1,148.15 / $6,025.60 / $10,715.19	Facility	$1,148.15	$6,025.60	$10,715.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $602.56 / $1,202.26	Professional	$416.87	$602.56	$1,202.26
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $446.68 / $1,202.26	Professional	$398.11	$446.68	$1,202.26
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $7,585.78 / $57,543.99	Facility	$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $660.69 / $1,174.90	Professional	$645.65	$660.69	$1,174.90
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $776.25 / $776.25	Facility	$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $602.56 / $1,023.29	Professional	$389.05	$602.56	$1,023.29
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $812.83 / $1,122.02	Professional	$812.83	$812.83	$1,122.02
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $676.08 / $1,122.02	Professional	$446.68	$676.08	$1,122.02
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,235.94 / $4,897.79 / $14,454.40	Facility	$3,235.94	$4,897.79	$14,454.40
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $588.84 / $1,000.00	Professional	$549.54	$588.84	$1,000.00
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $4,570.88 / $9,549.93	Facility	$1,023.29	$4,570.88	$9,549.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $645.65 / $1,174.90	Professional	$446.68	$645.65	$1,174.90
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,548.82 / $1,548.82 / $5,754.40	Facility	$1,548.82	$1,548.82	$5,754.40
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $588.84 / $1,548.82	Professional	$562.34	$588.84	$1,548.82
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $436.52 / $562.34 / $691.83	Facility	$436.52	$562.34	$691.83
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $630.96 / $691.83	Professional	$436.52	$630.96	$691.83
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $3,890.45 / $7,585.78	Facility	$1,659.59	$3,890.45	$7,585.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $616.60 / $1,047.13	Professional	$416.87	$616.60	$1,047.13

Pennsylvania rates for HCPCS 65426