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 $28.84 / $70.79 / $131.83	Facility	$28.84	$70.79	$131.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $20.89 / $91.20	Professional	$16.98	$20.89	$91.20
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $16.22 / $16.22	Professional	$16.22	$16.22	$16.22
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $97.72 / $131.83 / $5,011.87	Facility	$97.72	$131.83	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Professional	$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $41.69 / $93.33	Facility	$19.50	$41.69	$93.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $32.36 / $40.74	Professional	$19.95	$32.36	$40.74
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $12.88 / $38.90	Professional	$10.72	$12.88	$38.90
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $26.92 / $26.92	Facility	$26.92	$26.92	$26.92
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $22.91 / $46.77	Professional	$19.05	$22.91	$46.77
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $64.57 / $120.23	Facility	$37.15	$64.57	$120.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $17.38 / $20.42	Professional	$16.22	$17.38	$20.42
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $40.74 / $93.33	Facility	$21.88	$40.74	$93.33
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $20.89 / $32.36	Professional	$16.98	$20.89	$32.36
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $25.12 / $26.92	Facility	$22.39	$25.12	$26.92
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $23.99 / $26.92	Professional	$14.45	$23.99	$26.92
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $26.92 / $32.36	Facility	$11.48	$26.92	$32.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $16.22 / $41.69	Professional	$11.48	$16.22	$41.69

Pennsylvania rates for HCPCS 80235