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 $13.49 / $44.67 / $91.20	Facility	$13.49	$44.67	$91.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $9.77 / $35.48	Professional	$7.94	$9.77	$35.48
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $6.61 / $10.72	Professional	$6.46	$6.61	$10.72
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.38 / $50.12 / $239.88	Facility	$17.38	$50.12	$239.88
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $75.86 / $5,011.87	Facility	$56.23	$75.86	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $8.32 / $10.47	Professional	$8.32	$8.32	$10.47
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.76 / $16.60 / $37.15	Facility	$7.76	$16.60	$37.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $26.92 / $50.12	Professional	$13.18	$26.92	$50.12
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $8.13 / $15.49	Professional	$5.01	$8.13	$15.49
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.72 / $10.72 / $10.72	Facility	$10.72	$10.72	$10.72
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $12.02 / $18.62	Professional	$10.47	$12.02	$18.62
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $27.54 / $52.48	Facility	$14.79	$27.54	$52.48
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $6.46 / $8.91	Professional	$6.46	$6.46	$8.91
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $47.86 / $239.88	Facility	$12.30	$47.86	$239.88
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.59 / $16.60 / $47.86	Facility	$7.59	$16.60	$47.86
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $9.77 / $20.42	Professional	$7.76	$9.77	$20.42
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $954.99 / $1,318.26	Facility	$363.08	$954.99	$1,318.26
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.46 / $13.18 / $30.20	Facility	$6.46	$13.18	$30.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $13.18 / $30.20	Professional	$6.46	$13.18	$30.20
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.31 / $10.72 / $12.88	Facility	$6.31	$10.72	$12.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.79 / $7.08 / $18.20	Professional	$4.79	$7.08	$18.20

Pennsylvania rates for HCPCS 84165