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 $5.25 / $16.98 / $30.90	Facility	$5.25	$16.98	$30.90
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.62 / $8.71	Professional	$3.98	$5.62	$8.71
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $45.71 / $5,011.87	Facility	$33.88	$45.71	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $5.01 / $6.17	Professional	$5.01	$5.01	$6.17
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.68 / $10.00 / $22.39	Facility	$4.68	$10.00	$22.39
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.80 / $7.41 / $11.75	Professional	$3.80	$7.41	$11.75
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $3.80 / $9.33	Professional	$3.02	$3.80	$9.33
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.46 / $6.46 / $6.46	Facility	$6.46	$6.46	$6.46
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $7.24 / $11.22	Professional	$6.31	$7.24	$11.22
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.23 / $16.22 / $75.86	Facility	$10.23	$16.22	$75.86
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.89 / $4.37 / $5.50	Professional	$3.89	$4.37	$5.50
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.25 / $10.96 / $22.91	Facility	$5.25	$10.96	$22.91
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.01 / $8.71	Professional	$3.98	$5.01	$8.71
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.02 / $4.68 / $9.33	Facility	$3.02	$4.68	$9.33
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $4.79 / $9.55	Professional	$3.02	$4.79	$9.55
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.80 / $6.46 / $7.76	Facility	$3.80	$6.46	$7.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.69 / $4.27 / $11.22	Professional	$2.69	$4.27	$11.22

Pennsylvania rates for HCPCS 85004