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 $9.77 / $30.90 / $125.89	Facility	$9.77	$30.90	$125.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.00 / $72.44	Professional	$7.94	$10.00	$72.44
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $69.18 / $1,047.13	Facility	$21.88	$69.18	$1,047.13
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $81.28 / $5,011.87	Facility	$60.26	$81.28	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $8.91 / $10.96	Professional	$8.91	$8.91	$10.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.32 / $17.38 / $38.90	Facility	$8.32	$17.38	$38.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.76 / $14.79 / $27.54	Professional	$6.76	$14.79	$27.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $8.13 / $16.60	Professional	$5.37	$8.13	$16.60
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $11.48 / $11.48	Facility	$11.48	$11.48	$11.48
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $12.88 / $19.95	Professional	$11.48	$12.88	$19.95
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $35.48 / $75.86	Facility	$19.50	$35.48	$75.86
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.92 / $6.92 / $6.92	Professional	$6.92	$6.92	$6.92
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $57.54 / $134.90	Facility	$13.18	$57.54	$134.90
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $17.78 / $35.48	Facility	$9.33	$17.78	$35.48
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $8.91 / $15.85	Professional	$7.94	$8.91	$15.85
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $14.79 / $19.50	Facility	$11.48	$14.79	$19.50
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $14.79 / $19.50	Professional	$11.48	$14.79	$19.50
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.76 / $11.48 / $13.80	Facility	$6.76	$11.48	$13.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.13 / $7.59 / $19.95	Professional	$5.13	$7.59	$19.95

Pennsylvania rates for HCPCS 86635