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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $40.74 / $165.96	Facility		$19.95	$40.74	$165.96
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $53.70 / $114.82 / $288.40	Facility	CQ	$53.70	$114.82	$288.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $22.39 / $114.82	Professional		$15.85	$22.39	$114.82
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $18.62 / $32.36 / $70.79	Professional	CQ	$18.62	$32.36	$70.79
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $26.92 / $26.92	Professional		$25.70	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $75.86 / $125.89	Facility		$46.77	$75.86	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $26.92 / $51.29	Professional		$14.13	$26.92	$51.29
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $46.77	Professional		$34.67	$34.67	$46.77
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $33.11 / $54.95	Professional		$28.18	$33.11	$54.95
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $45.71 / $74.13	Facility		$13.18	$45.71	$74.13
Highmark BCBS Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $8.71 / $81.28 / $97.72	Facility	CQ	$8.71	$81.28	$97.72
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $23.99 / $26.30	Professional		$23.99	$23.99	$26.30
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $29.51 / $43.65	Facility		$19.95	$29.51	$43.65
Martin's Point Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $22.91 / $53.70 / $66.07	Facility	CQ	$22.91	$53.70	$66.07
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $22.39 / $46.77	Professional		$16.98	$22.39	$46.77
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $151.36 / $190.55	Facility		$131.83	$151.36	$190.55
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $31.62 / $63.10	Professional		$30.20	$31.62	$63.10
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $15.49 / $28.84	Facility		$12.30	$15.49	$28.84
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $18.62 / $43.65	Professional		$12.30	$18.62	$43.65
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $31.62 / $31.62	Facility		$28.84	$31.62	$31.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $29.51 / $45.71	Professional		$21.88	$29.51	$45.71

Pennsylvania rates for HCPCS 97116