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 $54.95 / $478.63 / $6,165.95	Facility		$54.95	$478.63	$6,165.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $22.39 / $54.95	Professional		$12.30	$22.39	$54.95
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $19.95 / $38.90 / $97.72	Professional	50	$19.95	$38.90	$97.72
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $12.30 / $17.78 / $69.18	Professional	52	$12.30	$17.78	$69.18
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $4.57 / $18.62 / $64.57	Professional	53	$4.57	$18.62	$64.57
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $15.49 / $28.18	Professional		$13.18	$15.49	$28.18
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $23.44 / $32.36 / $46.77	Professional	50	$23.44	$32.36	$46.77
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $4,365.16 / $6,918.31	Facility		$954.99	$4,365.16	$6,918.31
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $15.85 / $17.78	Professional		$7.94	$15.85	$17.78
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 $14.45 / $20.42 / $25.70	Professional		$14.45	$20.42	$25.70
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $19.95 / $29.51 / $38.02	Professional	50	$19.95	$29.51	$38.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $17.78 / $26.30	Professional		$13.49	$17.78	$26.30
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $28.84 / $29.51	Professional		$28.84	$28.84	$29.51
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $20.89 / $27.54	Professional		$12.88	$20.89	$27.54
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $186.21 / $275.42	Facility		$32.36	$186.21	$275.42
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $2,884.03 / $6,025.60	Facility		$77.62	$2,884.03	$6,025.60
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $15.85 / $18.20	Professional		$7.94	$15.85	$18.20
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $1,737.80 / $6,606.93	Facility		$23.99	$1,737.80	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $18.20 / $36.31	Professional		$12.88	$18.20	$36.31
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $208.93 / $1,047.13	Facility		$204.17	$208.93	$1,047.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $30.90 / $36.31	Professional		$15.14	$30.90	$36.31
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $14.45 / $28.84	Facility		$13.18	$14.45	$28.84
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $14.45 / $28.84	Professional		$5.25	$14.45	$28.84
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $436.52 / $3,890.45	Facility		$125.89	$436.52	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $15.49 / $28.18	Professional		$11.48	$15.49	$28.18

Pennsylvania rates for HCPCS 69209