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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $81.28 / $83.18	Facility		$47.86	$81.28	$83.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $9.33 / $30.90	Professional		$3.98	$9.33	$30.90
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $5.50 / $5.62 / $10.47	Professional	25	$5.50	$5.62	$10.47
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.55 / $4.79 / $7.41	Professional		$3.55	$4.79	$7.41
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.37 / $4.37 / $5.13	Professional		$4.37	$4.37	$5.13
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.47 / $6.31 / $10.96	Professional		$4.47	$6.31	$10.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $5.01 / $7.94	Professional		$3.02	$5.01	$7.94
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.27 / $4.68 / $5.62	Professional		$4.27	$4.68	$5.62
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.13 / $5.13 / $5.37	Facility		$5.13	$5.13	$5.37
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.63 / $5.13 / $9.12	Professional		$3.63	$5.13	$9.12
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $6.31 / $7.94	Professional		$5.37	$6.31	$7.94
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.37 / $5.13 / $5.13	Professional		$4.37	$5.13	$5.13
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.50 / $10.96	Professional		$3.98	$5.50	$10.96
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.79 / $6.03 / $6.76	Professional		$4.79	$6.03	$6.76
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $177.83	Facility		$54.95	$54.95	$177.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $6.31 / $8.91	Professional		$6.31	$6.31	$8.91
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $6.03 / $10.00	Professional		$5.37	$6.03	$10.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.27 / $5.75 / $11.22	Professional		$4.27	$5.75	$11.22

Pennsylvania rates for HCPCS 96127