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 $29.51 / $91.20 / $234.42	Facility	$29.51	$91.20	$234.42
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $19.95 / $40.74	Professional	$15.85	$19.95	$40.74
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $112.20 / $2,089.30	Facility	$35.48	$112.20	$2,089.30
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $162.18 / $5,011.87	Facility	$120.23	$162.18	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $17.78 / $21.88	Professional	$17.78	$17.78	$21.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $34.67 / $77.62	Facility	$16.60	$34.67	$77.62
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $29.51 / $56.23	Professional	$13.49	$29.51	$56.23
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $13.49 / $33.11	Professional	$9.55	$13.49	$33.11
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $22.91 / $22.91	Facility	$22.91	$22.91	$22.91
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $25.70 / $39.81	Professional	$22.39	$25.70	$39.81
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $57.54 / $141.25	Facility	$33.88	$57.54	$141.25
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $15.14 / $19.50	Professional	$13.80	$15.14	$19.50
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $97.72 / $223.87	Facility	$26.30	$97.72	$223.87
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $34.67 / $77.62	Facility	$16.22	$34.67	$77.62
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $19.05 / $35.48	Professional	$15.85	$19.05	$35.48
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $218.78 / $223.87 / $309.03	Facility	$218.78	$223.87	$309.03
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $30.90 / $30.90	Facility	$21.88	$30.90	$30.90
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $23.99 / $32.36	Professional	$16.98	$23.99	$32.36
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $22.91 / $27.54	Facility	$13.49	$22.91	$27.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $15.14 / $39.81	Professional	$10.23	$15.14	$39.81

Pennsylvania rates for HCPCS 85245