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 $2,691.53 / $7,413.10 / $12,022.64	Facility	$2,691.53	$7,413.10	$12,022.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,380.38 / $2,344.23 / $7,943.28	Professional	$1,380.38	$2,344.23	$7,943.28
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,606.93 / $10,000.00 / $14,454.40	Facility	$6,606.93	$10,000.00	$14,454.40
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,238.72 / $2,238.72 / $2,238.72	Professional	$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,818.38 / $4,677.35 / $9,772.37	Facility	$2,818.38	$4,677.35	$9,772.37
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,513.56 / $3,090.30 / $6,456.54	Professional	$1,513.56	$3,090.30	$6,456.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $2,570.40 / $3,890.45	Professional	$1,995.26	$2,570.40	$3,890.45
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,884.03 / $2,884.03 / $2,884.03	Facility	$2,884.03	$2,884.03	$2,884.03
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,584.89 / $3,090.30 / $5,011.87	Professional	$1,584.89	$3,090.30	$5,011.87
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $4,073.80 / $9,772.37	Facility	$2,344.23	$4,073.80	$9,772.37
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,288.25 / $2,344.23 / $3,311.31	Professional	$1,288.25	$2,344.23	$3,311.31
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $2,884.03 / $2,884.03	Facility	$309.03	$2,884.03	$2,884.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $2,884.03 / $2,951.21	Professional	$309.03	$2,884.03	$2,951.21
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,288.25 / $2,884.03 / $3,467.37	Facility	$1,288.25	$2,884.03	$3,467.37
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,202.26 / $1,737.80 / $3,801.89	Professional	$1,202.26	$1,737.80	$3,801.89

Pennsylvania rates for HCPCS 81538