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 $173.78 / $436.52 / $724.44	Facility	$173.78	$436.52	$724.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $134.90 / $489.78	Professional	$89.13	$134.90	$489.78
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $281.84 / $870.96	Facility	$123.03	$281.84	$870.96
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $794.33 / $5,011.87	Facility	$602.56	$794.33	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Professional	$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $269.15 / $562.34	Facility	$162.18	$269.15	$562.34
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $158.49 / $371.54	Professional	$77.62	$158.49	$371.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $147.91 / $223.87	Professional	$114.82	$147.91	$223.87
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	$165.96	$165.96	$165.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $257.04 / $416.87	Professional	$162.18	$257.04	$416.87
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $331.13 / $331.13 / $562.34	Facility	$331.13	$331.13	$562.34
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $239.88 / $426.58	Facility	$128.82	$239.88	$426.58
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $316.23 / $562.34	Facility	$141.25	$316.23	$562.34
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $131.83 / $199.53	Professional	$83.18	$131.83	$199.53
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $85.11 / $181.97	Facility	$64.57	$85.11	$181.97
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $151.36 / $407.38	Professional	$64.57	$151.36	$407.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $165.96 / $199.53	Facility	$100.00	$165.96	$199.53
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $100.00 / $218.78	Professional	$69.18	$100.00	$218.78

Pennsylvania rates for HCPCS 81245