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 $40.74 / $97.72 / $162.18	Facility	$40.74	$97.72	$162.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $30.90 / $70.79	Professional	$22.91	$30.90	$70.79
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $186.21 / $5,011.87	Facility	$141.25	$186.21	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $30.20 / $30.20	Professional	$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $58.88 / $131.83	Facility	$26.92	$58.88	$131.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $42.66 / $69.18	Professional	$17.38	$42.66	$69.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $22.91 / $56.23	Professional	$18.20	$22.91	$56.23
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $38.90 / $38.90	Facility	$38.90	$38.90	$38.90
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $38.90 / $67.61	Professional	$28.84	$38.90	$67.61
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $95.50 / $389.05	Facility	$31.62	$95.50	$389.05
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $22.91 / $25.70	Professional	$22.91	$22.91	$25.70
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $74.13 / $131.83	Facility	$32.36	$74.13	$131.83
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $30.90 / $45.71	Professional	$20.89	$30.90	$45.71
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $38.90 / $53.70	Facility	$28.84	$38.90	$53.70
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $38.90 / $53.70	Professional	$25.70	$38.90	$53.70
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $38.90 / $46.77	Facility	$16.22	$38.90	$46.77
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $22.91 / $57.54	Professional	$16.22	$22.91	$57.54

Pennsylvania rates for HCPCS 80204