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 $1,513.56 / $6,606.93 / $10,715.19	Facility	$1,513.56	$6,606.93	$10,715.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,380.38 / $3,235.94	Professional	$1,096.48	$1,380.38	$3,235.94
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,309.57 / $10,471.29 / $23,988.33	Facility	$6,309.57	$10,471.29	$23,988.33
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,174.90 / $1,174.90	Professional	$1,174.90	$1,174.90	$1,174.90
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $9,549.93 / $10,000.00 / $57,543.99	Facility	$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $1,148.15 / $2,089.30	Professional	$1,122.02	$1,148.15	$2,089.30
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,445.44 / $1,445.44 / $1,445.44	Facility	$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $1,380.38 / $2,187.76	Professional	$851.14	$1,380.38	$2,187.76
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,584.89	Professional	$1,148.15	$1,148.15	$1,584.89
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $1,348.96 / $2,238.72	Professional	$954.99	$1,348.96	$2,238.72
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,897.79 / $8,317.64 / $17,378.01	Facility	$4,897.79	$8,317.64	$17,378.01
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,288.25 / $1,380.38 / $1,380.38	Professional	$1,288.25	$1,380.38	$1,380.38
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,677.35 / $7,079.46 / $11,481.54	Facility	$4,677.35	$7,079.46	$11,481.54
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,174.90 / $1,174.90	Professional	$1,174.90	$1,174.90	$1,174.90
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,096.48 / $4,786.30 / $9,549.93	Facility	$1,096.48	$4,786.30	$9,549.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,071.52 / $1,348.96 / $2,344.23	Professional	$1,071.52	$1,348.96	$2,344.23
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,230.27 / $1,288.25 / $3,019.95	Professional	$1,230.27	$1,288.25	$3,019.95
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,096.48 / $1,202.26 / $1,778.28	Facility	$1,096.48	$1,202.26	$1,778.28
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $1,202.26 / $1,778.28	Professional	$416.87	$1,202.26	$1,778.28
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $5,623.41 / $13,182.57	Facility	$2,344.23	$5,623.41	$13,182.57
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $977.24 / $1,318.26 / $2,344.23	Professional	$977.24	$1,318.26	$2,344.23

Pennsylvania rates for HCPCS 67042