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 $6.17 / $19.05 / $91.20	Facility	$6.17	$19.05	$91.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.01 / $10.96	Professional	$3.98	$5.01	$10.96
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $45.71 / $5,011.87	Facility	$34.67	$45.71	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.13 / $5.13 / $6.31	Professional	$5.13	$5.13	$6.31
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 / $8.32 / $15.85	Professional	$3.80	$8.32	$15.85
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.09 / $3.89 / $9.55	Professional	$3.09	$3.89	$9.55
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 $6.46 / $7.24 / $11.22	Professional	$6.46	$7.24	$11.22
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.12 / $16.22 / $40.74	Facility	$9.12	$16.22	$40.74
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.89 / $3.89 / $3.89	Professional	$3.89	$3.89	$3.89
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.25 / $14.13 / $22.39	Facility	$5.25	$14.13	$22.39
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.01 / $7.08	Professional	$3.98	$5.01	$7.08
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.46 / $7.59 / $7.59	Facility	$6.46	$7.59	$7.59
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $7.59 / $7.59	Professional	$5.75	$7.59	$7.59
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 $2.95 / $4.79 / $11.48	Professional	$2.95	$4.79	$11.48

Pennsylvania rates for HCPCS 85420