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 $288.40 / $1,122.02 / $1,122.02	Facility	$288.40	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $309.03 / $446.68	Professional	$234.42	$309.03	$446.68
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $562.34 / $562.34	Professional	$562.34	$562.34	$562.34
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 $363.08 / $524.81 / $660.69	Professional	$363.08	$524.81	$660.69
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $331.13 / $331.13 / $524.81	Facility	$331.13	$331.13	$524.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $239.88 / $331.13	Professional	$239.88	$239.88	$331.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $933.25 / $1,348.96	Professional	$660.69	$933.25	$1,348.96
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $660.69 / $660.69	Facility	$660.69	$660.69	$660.69
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $457.09 / $660.69	Professional	$398.11	$457.09	$660.69
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $446.68 / $457.09	Professional	$436.52	$446.68	$457.09
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Facility	$288.40	$288.40	$288.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $302.00 / $436.52	Professional	$251.19	$302.00	$436.52
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $954.99 / $1,380.38	Professional	$0.60	$954.99	$1,380.38
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $616.60	Facility	$309.03	$309.03	$616.60
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $478.63 / $616.60	Professional	$309.03	$478.63	$616.60
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $724.44 / $831.76	Facility	$239.88	$724.44	$831.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $354.81 / $575.44	Professional	$251.19	$354.81	$575.44

Pennsylvania rates for HCPCS L5631