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 $11.48 / $37.15 / $61.66	Facility	$11.48	$37.15	$61.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $10.96 / $25.70	Professional	$8.91	$10.96	$25.70
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $31.62 / $602.56	Facility	$11.75	$31.62	$602.56
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $89.13 / $5,011.87	Facility	$66.07	$89.13	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $10.47 / $12.88	Professional	$10.47	$10.47	$12.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.77 / $20.89 / $39.81	Facility	$9.77	$20.89	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $17.38 / $32.36	Professional	$7.94	$17.38	$32.36
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $10.72 / $19.50	Professional	$6.31	$10.72	$19.50
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $13.49 / $13.49	Facility	$13.49	$13.49	$13.49
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $14.79 / $23.44	Professional	$13.49	$14.79	$23.44
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $32.36 / $69.18	Facility	$19.05	$32.36	$69.18
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $8.91 / $12.88	Professional	$8.13	$8.91	$12.88
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $26.30 / $61.66	Facility	$11.75	$26.30	$61.66
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $20.42 / $40.74	Facility	$10.96	$20.42	$40.74
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $10.96 / $20.89	Professional	$8.91	$10.96	$20.89
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.24 / $14.79 / $20.42	Facility	$7.24	$14.79	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $14.79 / $27.54	Professional	$10.23	$14.79	$27.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.76 / $13.49 / $16.22	Facility	$7.76	$13.49	$16.22
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $9.77 / $22.91	Professional	$6.03	$9.77	$22.91

Pennsylvania rates for HCPCS 80165