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 $18.62 / $43.65 / $72.44	Facility	$18.62	$43.65	$72.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $12.88 / $32.36	Professional	$7.08	$12.88	$32.36
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $10.47 / $10.47	Professional	$10.47	$10.47	$10.47
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $41.69 / $245.47	Facility	$15.49	$41.69	$245.47
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $67.61 / $5,011.87	Facility	$50.12	$67.61	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $13.49 / $13.49	Professional	$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $23.99 / $51.29	Facility	$11.48	$23.99	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.89 / $16.22 / $26.30	Professional	$5.89	$16.22	$26.30
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.23 / $25.12	Professional	$7.94	$10.23	$25.12
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.38 / $17.38 / $17.38	Facility	$17.38	$17.38	$17.38
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $14.13 / $30.20	Professional	$10.00	$14.13	$30.20
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $36.31 / $85.11	Facility	$24.55	$36.31	$85.11
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $34.67 / $83.18	Facility	$15.49	$34.67	$83.18
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.13 / $25.12 / $60.26	Facility	$14.13	$25.12	$60.26
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $14.13 / $19.95	Professional	$7.94	$14.13	$19.95
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $14.79 / $17.38	Facility	$11.75	$14.79	$17.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $14.79 / $33.11	Professional	$10.47	$14.79	$33.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.61 / $17.38 / $20.89	Facility	$6.61	$17.38	$20.89
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $10.47 / $22.91	Professional	$6.31	$10.47	$22.91

Pennsylvania rates for HCPCS 85612