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 $10.00 / $33.11 / $54.95	Facility	$10.00	$33.11	$54.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.00 / $21.88	Professional	$7.94	$10.00	$21.88
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $87.10 / $5,011.87	Facility	$66.07	$87.10	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $9.77 / $12.30	Professional	$9.77	$9.77	$12.30
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $19.05 / $42.66	Facility	$8.91	$19.05	$42.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $15.85 / $30.20	Professional	$7.24	$15.85	$30.20
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.89 / $7.41 / $18.20	Professional	$5.89	$7.41	$18.20
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $12.59 / $12.59	Facility	$12.59	$12.59	$12.59
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $13.80 / $21.38	Professional	$12.59	$13.80	$21.38
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $36.31 / $95.50	Facility	$25.70	$36.31	$95.50
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $7.41 / $9.33	Professional	$7.41	$7.41	$9.33
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $33.11 / $42.66	Facility	$10.00	$33.11	$42.66
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.00 / $15.14	Professional	$7.94	$10.00	$15.14
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $12.59 / $15.85	Facility	$9.33	$12.59	$15.85
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $15.85 / $17.78	Professional	$9.33	$15.85	$17.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.24 / $12.59 / $14.79	Facility	$7.24	$12.59	$14.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $9.12 / $21.88	Professional	$5.62	$9.12	$21.88

Pennsylvania rates for HCPCS 86343