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 $28.18 / $32.36 / $41.69	Facility	$28.18	$32.36	$41.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $36.31 / $51.29	Professional	$28.18	$36.31	$51.29
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $32.36 / $35.48	Professional	$23.99	$32.36	$35.48
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $38.90 / $38.90	Professional	$28.84	$38.90	$38.90
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $34.67 / $63.10	Professional	$33.11	$34.67	$63.10
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Facility	$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $38.90 / $52.48	Professional	$25.70	$38.90	$52.48
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $34.67 / $58.88	Professional	$14.45	$34.67	$58.88
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $38.02	Facility	$36.31	$36.31	$38.02
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $38.90 / $74.13	Professional	$27.54	$38.90	$74.13
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $37.15 / $43.65	Professional	$34.67	$37.15	$43.65
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $38.90 / $38.90	Professional	$28.84	$38.90	$38.90
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $35.48 / $50.12	Facility	$31.62	$35.48	$50.12
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $38.02 / $63.10	Professional	$28.18	$38.02	$63.10
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $38.02 / $48.98	Professional	$31.62	$38.02	$48.98
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $39.81 / $50.12	Professional	$32.36	$39.81	$50.12
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $22.91 / $43.65	Professional	$15.14	$22.91	$43.65
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $39.81 / $64.57	Professional	$31.62	$39.81	$64.57

Pennsylvania rates for HCPCS 96138