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 $794.33 / $1,258.93 / $1,258.93	Facility	$794.33	$1,258.93	$1,258.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $954.99 / $1,412.54	Professional	$67.61	$954.99	$1,412.54
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 $1,621.81 / $1,621.81 / $1,621.81	Professional	$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $125.89	Facility	$120.23	$120.23	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $120.23	Professional	$102.33	$102.33	$120.23
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,513.56 / $2,137.96 / $3,090.30	Professional	$1,513.56	$2,137.96	$3,090.30
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,621.81 / $1,621.81 / $1,621.81	Facility	$1,621.81	$1,621.81	$1,621.81
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $977.24 / $1,621.81	Professional	$87.10	$977.24	$1,621.81
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $794.33 / $794.33 / $794.33	Facility	$794.33	$794.33	$794.33
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $954.99 / $1,445.44	Professional	$67.61	$954.99	$1,445.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $3,162.28 / $3,162.28	Professional	$0.60	$3,162.28	$3,162.28
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $1,513.56	Facility	$138.04	$138.04	$1,513.56
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $1,513.56 / $1,584.89	Professional	$93.33	$1,513.56	$1,584.89
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $1,995.26 / $2,290.87	Facility	$69.18	$1,995.26	$2,290.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $77.62 / $954.99	Professional	$57.54	$77.62	$954.99

Pennsylvania rates for HCPCS A4563