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 $10.23 / $39.81 / $104.71	Facility	$10.23	$39.81	$104.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.89 / $7.76 / $47.86	Professional	$5.89	$7.76	$47.86
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.55 / $4.07 / $5.37	Professional	$1.55	$4.07	$5.37
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $85.11 / $1,096.48	Facility	$15.14	$85.11	$1,096.48
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $5.01 / $5.01	Professional	$5.01	$5.01	$5.01
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $54.95 / $5,011.87	Facility	$40.74	$54.95	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $6.03 / $24.55	Professional	$6.03	$6.03	$24.55
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.62 / $12.02 / $26.92	Facility	$5.62	$12.02	$26.92
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.57 / $9.12 / $14.13	Professional	$4.57	$9.12	$14.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.24 / $7.59 / $11.22	Professional	$3.24	$7.59	$11.22
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.76 / $7.76 / $7.76	Facility	$7.76	$7.76	$7.76
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $8.71 / $13.49	Professional	$7.59	$8.71	$13.49
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $21.38 / $50.12	Facility	$12.30	$21.38	$50.12
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.68 / $5.13 / $12.88	Professional	$4.68	$5.13	$12.88
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $63.10 / $1,380.38	Facility	$10.96	$63.10	$1,380.38
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $5.01 / $5.01	Professional	$5.01	$5.01	$5.01
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.31 / $19.05 / $77.62	Facility	$6.31	$19.05	$77.62
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $7.08 / $13.18	Professional	$5.37	$7.08	$13.18
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $1,548.82 / $1,949.84	Facility	$1,047.13	$1,548.82	$1,949.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $14.79 / $35.48	Facility	$8.91	$14.79	$35.48
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $10.96 / $35.48	Professional	$8.91	$10.96	$35.48
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.27 / $7.76 / $9.33	Facility	$4.27	$7.76	$9.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.47 / $5.75 / $13.80	Professional	$3.47	$5.75	$13.80

Pennsylvania rates for HCPCS 85025