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 $39.81 / $141.25 / $371.54	Facility	$39.81	$141.25	$371.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $38.02 / $245.47	Professional	$34.67	$38.02	$245.47
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $23.99 / $23.99	Professional	$23.99	$23.99	$23.99
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $83.18 / $870.96	Facility	$30.90	$83.18	$870.96
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $5,011.87 / $77,624.71	Facility	$50.12	$5,011.87	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $41.69	Professional	$37.15	$37.15	$41.69
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $72.44 / $162.18	Facility	$34.67	$72.44	$162.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $54.95 / $87.10	Professional	$22.39	$54.95	$87.10
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $28.18 / $69.18	Professional	$22.39	$28.18	$69.18
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Facility	$47.86	$47.86	$47.86
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $40.74 / $83.18	Professional	$18.20	$40.74	$83.18
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $102.33 / $213.80	Facility	$69.18	$102.33	$213.80
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional	$35.48	$35.48	$35.48
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $70.79 / $165.96	Facility	$30.90	$70.79	$165.96
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $72.44 / $128.82	Facility	$33.11	$72.44	$128.82
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $38.90 / $66.07	Professional	$34.67	$38.90	$66.07
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.38 / $47.86 / $114.82	Facility	$17.38	$47.86	$114.82
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $38.90 / $74.13	Professional	$17.38	$38.90	$74.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $47.86 / $57.54	Facility	$23.99	$47.86	$57.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $30.90 / $74.13	Professional	$19.95	$30.90	$74.13

Pennsylvania rates for HCPCS 80055