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 $724.44 / $2,691.53 / $8,317.64	Facility		$724.44	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $81.28 / $147.91	Professional		$61.66	$81.28	$147.91
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Professional	50	$165.96	$165.96	$165.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
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 $79.43 / $83.18 / $144.54	Professional		$79.43	$83.18	$144.54
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $120.23 / $125.89 / $218.78	Professional	50	$120.23	$125.89	$218.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $85.11 / $154.88	Professional		$60.26	$85.11	$154.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $141.25	Professional		$102.33	$102.33	$141.25
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $85.11 / $138.04	Professional		$67.61	$85.11	$138.04
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $100.00 / $112.20	Professional		$79.43	$100.00	$112.20
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,995.26 / $7,244.36	Facility		$537.03	$1,995.26	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $81.28 / $162.18	Professional		$63.10	$81.28	$162.18
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $102.33 / $190.55	Professional		$97.72	$102.33	$190.55
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $75.86 / $83.18	Facility		$66.07	$75.86	$83.18
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $75.86 / $309.03	Professional		$64.57	$75.86	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $2,570.40 / $5,011.87	Facility		$1,000.00	$2,570.40	$5,011.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $81.28 / $144.54	Professional		$60.26	$81.28	$144.54

Pennsylvania rates for HCPCS 65435