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 $10.00 / $10.96 / $24.55	Facility		$10.00	$10.96	$24.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $15.14 / $31.62	Professional		$10.00	$15.14	$31.62
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $25.12 / $25.12 / $25.12	Professional	25	$25.12	$25.12	$25.12
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $17.38 / $27.54	Professional		$12.88	$17.38	$27.54
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $12.88 / $16.22	Professional		$12.88	$12.88	$16.22
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 $13.18 / $15.49 / $24.55	Professional		$13.18	$15.49	$24.55
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $18.20 / $29.51	Professional		$13.49	$18.20	$29.51
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $21.88 / $32.36	Professional		$15.85	$21.88	$32.36
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $16.98 / $28.18	Professional		$14.45	$16.98	$28.18
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $15.85 / $19.95	Professional		$14.13	$15.85	$19.95
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $15.14 / $16.22	Professional		$12.88	$15.14	$16.22
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $10.00 / $10.96	Facility		$10.00	$10.00	$10.96
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $13.18 / $25.70	Professional		$10.00	$13.18	$25.70
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $23.44 / $34.67	Professional		$16.98	$23.44	$34.67
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.55 / $14.45 / $19.95	Facility		$3.55	$14.45	$19.95
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $12.88 / $19.05	Professional		$8.91	$12.88	$19.05
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $15.49 / $26.30	Professional		$11.22	$15.49	$26.30

Pennsylvania rates for HCPCS 99421