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 $141.25 / $263.03 / $851.14	Facility	$141.25	$263.03	$851.14
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $199.53 / $549.54	Professional	$138.04	$199.53	$549.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $239.88 / $457.09	Professional	$177.83	$239.88	$457.09
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $257.04	Professional	$218.78	$218.78	$257.04
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 $346.74 / $346.74 / $346.74	Professional	$346.74	$346.74	$346.74
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $331.13	Facility	$213.80	$213.80	$331.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $213.80	Professional	$154.88	$154.88	$213.80
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $436.52 / $630.96	Professional	$302.00	$436.52	$630.96
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Facility	$354.81	$354.81	$354.81
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $229.09 / $354.81	Professional	$213.80	$229.09	$354.81
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $275.42 / $812.83	Facility	$234.42	$275.42	$812.83
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $263.03 / $338.84	Professional	$234.42	$263.03	$338.84
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $218.78 / $281.84	Professional	$173.78	$218.78	$281.84
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $165.96 / $263.03	Facility	$141.25	$165.96	$263.03
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $177.83 / $288.40	Professional	$141.25	$177.83	$288.40
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $1,445.44 / $1,584.89	Facility	$812.83	$1,445.44	$1,584.89
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $128.82 / $630.96	Professional	$83.18	$128.82	$630.96
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $251.19 / $478.63	Facility	$100.00	$251.19	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $239.88 / $478.63	Professional	$100.00	$239.88	$478.63
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $426.58 / $489.78	Facility	$154.88	$426.58	$489.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $173.78 / $363.08	Professional	$134.90	$173.78	$363.08

Pennsylvania rates for HCPCS L4361