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 $21.38 / $131.83 / $380.19	Facility	$21.38	$131.83	$380.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $51.29 / $77.62	Professional	$15.85	$51.29	$77.62
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $14.45 / $14.45	Professional	$14.45	$14.45	$14.45
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $512.86 / $512.86 / $512.86	Facility	$512.86	$512.86	$512.86
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,511.38 / $8,511.38 / $77,624.71	Facility	$8,511.38	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $77.62 / $97.72	Professional	$66.07	$77.62	$97.72
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $28.84 / $165.96	Facility	$28.84	$28.84	$165.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $66.07 / $117.49	Professional	$19.95	$66.07	$117.49
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Facility	$37.15	$37.15	$37.15
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $138.04 / $181.97	Professional	$104.71	$138.04	$181.97
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $89.13 / $141.25	Professional	$42.66	$89.13	$141.25
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $208.93 / $338.84	Facility	$131.83	$208.93	$338.84
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Professional	$114.82	$114.82	$114.82
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $199.53 / $537.03	Facility	$40.74	$199.53	$537.03
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $60.26 / $162.18	Facility	$17.78	$60.26	$162.18
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $51.29 / $79.43	Professional	$16.98	$51.29	$79.43
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $154.88 / $173.78	Professional	$131.83	$154.88	$173.78
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $21.88 / $54.95	Facility	$16.60	$21.88	$54.95
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $21.88 / $69.18	Professional	$12.30	$21.88	$69.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $89.13 / $154.88	Facility	$77.62	$89.13	$154.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $56.23 / $109.65	Professional	$17.38	$56.23	$109.65

Pennsylvania rates for HCPCS 94625