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 $208.93 / $524.81 / $933.25	Facility	$208.93	$524.81	$933.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $162.18 / $691.83	Professional	$131.83	$162.18	$691.83
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $4,073.80 / $5,370.32	Facility	$199.53	$4,073.80	$5,370.32
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $977.24 / $1,288.25 / $5,011.87	Facility	$977.24	$1,288.25	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Professional	$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $323.59 / $676.08	Facility	$190.55	$323.59	$676.08
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $213.80 / $446.68	Professional	$114.82	$213.80	$446.68
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $177.83 / $269.15	Professional	$138.04	$177.83	$269.15
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility	$199.53	$199.53	$199.53
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $316.23 / $501.19	Professional	$213.80	$316.23	$501.19
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $912.01 / $912.01 / $912.01	Facility	$912.01	$912.01	$912.01
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $4,073.80 / $5,370.32	Facility	$199.53	$4,073.80	$5,370.32
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $524.81 / $707.95	Facility	$169.82	$524.81	$707.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $158.49 / $363.08	Professional	$131.83	$158.49	$363.08
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $302.00	Facility	$74.13	$74.13	$302.00
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $199.53 / $302.00	Professional	$74.13	$199.53	$302.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $199.53 / $239.88	Facility	$162.18	$199.53	$239.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $117.49 / $295.12	Professional	$83.18	$117.49	$295.12

Pennsylvania rates for HCPCS 81261