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 $21.88 / $57.54 / $173.78	Facility	$21.88	$57.54	$173.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $16.98 / $37.15	Professional	$12.88	$16.98	$37.15
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $144.54 / $5,011.87	Facility	$107.15	$144.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $15.85 / $17.78	Professional	$15.85	$15.85	$17.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $30.90 / $69.18	Facility	$14.79	$30.90	$69.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $26.30 / $50.12	Professional	$12.02	$26.30	$50.12
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $12.02 / $29.51	Professional	$9.55	$12.02	$29.51
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $20.42 / $20.42	Facility	$20.42	$20.42	$20.42
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $22.91 / $35.48	Professional	$19.95	$22.91	$35.48
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $104.71 / $223.87	Facility	$43.65	$104.71	$223.87
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $12.30 / $19.50	Professional	$12.30	$12.30	$19.50
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $53.70 / $69.18	Facility	$16.60	$53.70	$69.18
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $16.98 / $25.12	Professional	$14.13	$16.98	$25.12
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $26.92 / $26.92	Facility	$20.42	$26.92	$26.92
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $26.92 / $26.92	Professional	$20.42	$26.92	$26.92
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $20.42 / $24.55	Facility	$12.02	$20.42	$24.55
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $15.14 / $35.48	Professional	$9.12	$15.14	$35.48

Pennsylvania rates for HCPCS 85244