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 $660.69 / $2,630.27 / $5,888.44	Facility		$660.69	$2,630.27	$5,888.44
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $457.09 / $1,479.11 / $2,570.40	Facility	52	$457.09	$1,479.11	$2,570.40
Aetna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $83.18 / $158.49 / $588.84	Facility	53	$83.18	$158.49	$588.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $309.03 / $891.25	Professional		$173.78	$309.03	$891.25
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $70.79 / $128.82 / $251.19	Professional	53	$70.79	$128.82	$251.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $173.78 / $323.59	Professional		$60.26	$173.78	$323.59
Ambetter Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $81.28 / $85.11 / $162.18	Professional	53	$81.28	$85.11	$162.18
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $123.03	Professional		$95.50	$95.50	$123.03
AmeriHealth Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $95.50 / $95.50 / $107.15	Professional	53	$95.50	$95.50	$107.15
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $363.08 / $575.44	Professional		$309.03	$363.08	$575.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $758.58 / $1,412.54	Facility		$371.54	$758.58	$1,412.54
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $446.68 / $446.68 / $446.68	Facility	22	$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Facility	52	$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Facility	53	$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $144.54 / $162.18 / $269.15	Professional	53	$144.54	$162.18	$269.15
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Emblem Health Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility	53	$186.21	$186.21	$186.21
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $549.54 / $831.76	Professional		$398.11	$549.54	$831.76
Emblem Health Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $199.53 / $275.42 / $389.05	Professional	53	$199.53	$275.42	$389.05
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $562.34 / $602.56 / $812.83	Facility		$562.34	$602.56	$812.83
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $407.38 / $630.96	Professional		$223.87	$407.38	$630.96
Geisinger Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $64.57 / $177.83 / $302.00	Professional	53	$64.57	$177.83	$302.00
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $851.14 / $1,862.09 / $3,388.44	Facility		$851.14	$1,862.09	$3,388.44
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $891.25 / $1,548.82 / $1,698.24	Facility	52	$891.25	$1,548.82	$1,698.24
Highmark BCBS Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $2,754.23 / $4,073.80 / $5,011.87	Facility	53	$2,754.23	$4,073.80	$5,011.87
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $239.88 / $331.13	Professional		$213.80	$239.88	$331.13
Highmark BCBS Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $194.98 / $223.87 / $331.13	Professional	53	$194.98	$223.87	$331.13
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $691.83 / $7,585.78	Facility		$302.00	$691.83	$7,585.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $177.83	Professional		$95.50	$95.50	$177.83
Independence Blue Cross Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $95.50 / $95.50 / $109.65	Professional	53	$95.50	$95.50	$109.65
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $1,905.46 / $5,248.07	Facility		$269.15	$1,905.46	$5,248.07
Martin's Point Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $83.18 / $154.88 / $302.00	Facility	53	$83.18	$154.88	$302.00
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $331.13 / $776.25	Professional		$169.82	$331.13	$776.25
Martin's Point Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $74.13 / $147.91 / $295.12	Professional	53	$74.13	$147.91	$295.12
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $812.83 / $1,905.46	Facility		$776.25	$812.83	$1,905.46
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $676.08 / $912.01	Professional		$478.63	$676.08	$912.01
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $389.05 / $436.52	Facility		$177.83	$389.05	$436.52
UPMC Health Plan Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $89.13 / $165.96 / $436.52	Facility	53	$89.13	$165.96	$436.52
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $389.05 / $467.74	Professional		$177.83	$389.05	$467.74
UPMC Health Plan Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $89.13 / $162.18 / $177.83	Professional	53	$89.13	$162.18	$177.83
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $407.38 / $1,513.56 / $3,311.31	Facility		$407.38	$1,513.56	$3,311.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $309.03 / $549.54	Professional		$169.82	$309.03	$549.54
United Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $104.71 / $204.17 / $331.13	Professional	53	$104.71	$204.17	$331.13

Pennsylvania rates for HCPCS G0121