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 $588.84 / $4,786.30 / $8,511.38	Facility		$588.84	$4,786.30	$8,511.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $104.71 / $181.97	Professional		$75.86	$104.71	$181.97
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $109.65 / $173.78 / $660.69	Professional	50	$109.65	$173.78	$660.69
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $123.03	Professional		$100.00	$100.00	$123.03
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $95.50 / $158.49	Professional		$93.33	$95.50	$158.49
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $138.04 / $144.54 / $239.88	Professional	50	$138.04	$144.54	$239.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $109.65 / $194.98	Professional		$75.86	$109.65	$194.98
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $158.49	Professional		$114.82	$114.82	$158.49
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $107.15 / $190.55	Professional		$89.13	$107.15	$190.55
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $1,047.13 / $1,778.28	Facility		$478.63	$1,047.13	$1,778.28
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,479.11 / $1,479.11 / $1,778.28	Facility	50	$1,479.11	$1,479.11	$1,778.28
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $117.49 / $120.23	Professional		$95.50	$117.49	$120.23
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $165.96 / $173.78 / $173.78	Professional	50	$165.96	$173.78	$173.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $107.15	Professional		$100.00	$100.00	$107.15
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $3,981.07 / $8,317.64	Facility		$588.84	$3,981.07	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $104.71 / $162.18	Professional		$75.86	$104.71	$162.18
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $288.40 / $302.00	Professional		$162.18	$288.40	$302.00
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $117.49 / $257.04	Facility		$10.00	$117.49	$257.04
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $89.13 / $257.04	Professional		$45.71	$89.13	$257.04
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $1,071.52 / $3,890.45	Facility		$363.08	$1,071.52	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $97.72 / $162.18	Professional		$67.61	$97.72	$162.18

Pennsylvania rates for HCPCS 68801