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 $1,698.24 / $5,011.87 / $9,549.93	Facility		$1,698.24	$5,011.87	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,818.38 / $6,165.95 / $6,606.93	Facility	50	$2,818.38	$6,165.95	$6,606.93
Aetna Facility/Professional Facility Modifier 54 Typical Low / Median / Typical High $8,709.64 / $8,709.64 / $8,709.64	Facility	54	$8,709.64	$8,709.64	$8,709.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $660.69 / $2,691.53	Professional		$346.74	$660.69	$2,691.53
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $2,187.76 / $2,187.76 / $4,365.16	Professional	50	$2,187.76	$2,187.76	$4,365.16
Aetna Facility/Professional Professional Modifier 54 Typical Low / Median / Typical High $234.42 / $512.86 / $1,230.27	Professional	54	$234.42	$512.86	$1,230.27
Aetna Facility/Professional Professional Modifier 55 Typical Low / Median / Typical High $48.98 / $107.15 / $831.76	Professional	55	$48.98	$107.15	$831.76
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $645.65 / $1,380.38	Professional		$416.87	$645.65	$1,380.38
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $8,912.51 / $30,902.95	Facility		$6,456.54	$8,912.51	$30,902.95
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $562.34 / $691.83	Professional		$562.34	$562.34	$691.83
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $7,585.78 / $8,709.64 / $57,543.99	Facility		$7,585.78	$8,709.64	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $812.83 / $1,513.56	Professional		$537.03	$812.83	$1,513.56
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $794.33 / $1,202.26 / $2,238.72	Professional	50	$794.33	$1,202.26	$2,238.72
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $707.95 / $1,174.90	Professional		$407.38	$707.95	$1,174.90
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $645.65 / $776.25	Professional		$524.81	$645.65	$776.25
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $691.83 / $977.24	Professional		$467.74	$691.83	$977.24
Geisinger Facility/Professional Professional Modifier 55 Typical Low / Median / Typical High $524.81 / $691.83 / $707.95	Professional	55	$524.81	$691.83	$707.95
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,951.21 / $4,466.84 / $7,585.78	Facility		$2,951.21	$4,466.84	$7,585.78
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $3,311.31 / $3,311.31 / $3,311.31	Facility	50	$3,311.31	$3,311.31	$3,311.31
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $676.08 / $1,000.00	Professional		$616.60	$676.08	$1,000.00
Highmark BCBS Facility/Professional Professional Modifier 54 Typical Low / Median / Typical High $436.52 / $457.09 / $467.74	Professional	54	$436.52	$457.09	$467.74
Highmark BCBS Facility/Professional Professional Modifier 55 Typical Low / Median / Typical High $123.03 / $131.83 / $131.83	Professional	55	$123.03	$131.83	$131.83
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $7,585.78 / $14,791.08	Facility		$2,511.89	$7,585.78	$14,791.08
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $562.34 / $691.83	Professional		$275.42	$562.34	$691.83
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $4,570.88 / $8,317.64	Facility		$602.56	$4,570.88	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $660.69 / $1,318.26	Professional		$524.81	$660.69	$1,318.26
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,905.46 / $1,995.26 / $5,754.40	Facility		$1,905.46	$1,995.26	$5,754.40
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $912.01 / $1,380.38	Professional		$870.96	$912.01	$1,380.38
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $912.01 / $933.25	Facility		$524.81	$912.01	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $912.01 / $933.25	Professional		$524.81	$912.01	$933.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $3,890.45 / $7,413.10	Facility		$1,737.80	$3,890.45	$7,413.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $645.65 / $1,122.02	Professional		$467.74	$645.65	$1,122.02

Pennsylvania rates for HCPCS 66984