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 $33.11 / $91.20 / $169.82	Facility	$33.11	$91.20	$169.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $33.88 / $165.96	Professional	$25.70	$33.88	$165.96
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $83.18 / $1,412.54	Facility	$30.20	$83.18	$1,412.54
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $38.90 / $40.74	Professional	$38.90	$38.90	$40.74
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $229.09 / $5,011.87	Facility	$173.78	$229.09	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $31.62 / $31.62	Professional	$31.62	$31.62	$31.62
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $66.07 / $138.04	Facility	$39.81	$66.07	$138.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $38.02 / $72.44	Professional	$20.89	$38.02	$72.44
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $36.31 / $54.95	Professional	$28.18	$36.31	$54.95
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $40.74 / $40.74	Facility	$40.74	$40.74	$40.74
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $56.23 / $102.33	Professional	$38.02	$56.23	$102.33
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $72.44 / $169.82	Facility	$67.61	$72.44	$169.82
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $69.18 / $691.83	Facility	$30.20	$69.18	$691.83
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $38.90 / $40.74	Professional	$38.90	$38.90	$40.74
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $56.23 / $117.49	Facility	$33.11	$56.23	$117.49
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $33.11 / $57.54	Professional	$25.70	$33.11	$57.54
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $1,288.25 / $1,778.28	Facility	$676.08	$1,288.25	$1,778.28
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $40.74 / $87.10	Professional	$26.30	$40.74	$87.10
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $52.48 / $56.23	Facility	$41.69	$52.48	$56.23
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $41.69 / $74.13	Professional	$40.74	$41.69	$74.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $40.74 / $48.98	Facility	$28.84	$40.74	$48.98
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $24.55 / $56.23	Professional	$16.98	$24.55	$56.23

Pennsylvania rates for HCPCS 87625