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 / $63.10 / $194.98	Facility	$16.98	$63.10	$194.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $12.02 / $23.99	Professional	$8.91	$12.02	$23.99
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $72.44 / $1,122.02	Facility	$22.91	$72.44	$1,122.02
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $93.33 / $5,011.87	Facility	$70.79	$93.33	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $10.23 / $13.18	Professional	$10.23	$10.23	$13.18
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $19.95 / $44.67	Facility	$9.55	$19.95	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $16.98 / $32.36	Professional	$7.76	$16.98	$32.36
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.17 / $13.18 / $19.05	Professional	$6.17	$13.18	$19.05
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $13.18 / $13.18	Facility	$13.18	$13.18	$13.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $14.79 / $22.91	Professional	$13.18	$14.79	$22.91
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $40.74 / $85.11	Facility	$20.89	$40.74	$85.11
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $7.94 / $10.96	Professional	$7.94	$7.94	$10.96
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $60.26 / $141.25	Facility	$15.14	$60.26	$141.25
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.72 / $18.62 / $69.18	Facility	$10.72	$18.62	$69.18
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $10.00 / $15.14	Professional	$8.91	$10.00	$15.14
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $11.48 / $13.18	Facility	$11.48	$11.48	$13.18
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $11.48 / $17.38	Professional	$5.62	$11.48	$17.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.76 / $13.18 / $15.85	Facility	$7.76	$13.18	$15.85
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $8.71 / $23.44	Professional	$5.62	$8.71	$23.44

Pennsylvania rates for HCPCS 86738