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 $16.98 / $57.54 / $239.88	Facility	$16.98	$57.54	$239.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.02 / $87.10	Professional	$10.00	$12.02	$87.10
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $22.39 / $22.39	Professional	$22.39	$22.39	$22.39
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $85.11 / $1,258.93	Facility	$26.92	$85.11	$1,258.93
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $97.72 / $5,011.87	Facility	$72.44	$97.72	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $10.72 / $13.18	Professional	$10.72	$10.72	$13.18
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $20.89 / $46.77	Facility	$10.00	$20.89	$46.77
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $18.20 / $33.11	Professional	$8.13	$18.20	$33.11
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $13.80 / $19.95	Professional	$6.46	$13.80	$19.95
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $13.80 / $13.80	Facility	$13.80	$13.80	$13.80
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $15.49 / $23.99	Professional	$13.49	$15.49	$23.99
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $34.67 / $102.33	Facility	$19.05	$34.67	$102.33
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $8.32 / $10.47	Professional	$8.32	$8.32	$10.47
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $72.44 / $169.82	Facility	$15.85	$72.44	$169.82
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.77 / $21.88 / $48.98	Facility	$9.77	$21.88	$48.98
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $10.96 / $21.88	Professional	$10.00	$10.96	$21.88
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $575.44 / $812.83	Facility	$537.03	$575.44	$812.83
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $18.20 / $18.20	Facility	$13.80	$18.20	$18.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $18.20 / $19.50	Professional	$13.80	$18.20	$19.50
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.13 / $13.80 / $16.60	Facility	$8.13	$13.80	$16.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.17 / $10.23 / $23.99	Professional	$6.17	$10.23	$23.99

Pennsylvania rates for HCPCS 85303