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 $31.62 / $102.33 / $208.93	Facility	$31.62	$102.33	$208.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $23.44 / $162.18	Professional	$19.05	$23.44	$162.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $13.49 / $16.22	Professional	$13.49	$13.49	$16.22
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $53.70 / $2,570.40	Facility	$19.50	$53.70	$2,570.40
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $134.90 / $5,011.87	Facility	$100.00	$134.90	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $21.38 / $23.44	Professional	$21.38	$21.38	$23.44
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 $15.85 / $38.02 / $69.18	Professional	$15.85	$38.02	$69.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $16.22 / $39.81	Professional	$12.88	$16.22	$39.81
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 $20.89 / $26.92 / $46.77	Professional	$20.89	$26.92	$46.77
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $89.13 / $173.78	Facility	$42.66	$89.13	$173.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $17.78 / $20.42	Professional	$16.22	$17.78	$20.42
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $46.77 / $104.71	Facility	$22.91	$46.77	$104.71
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $40.74 / $83.18	Facility	$21.88	$40.74	$83.18
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $22.91 / $40.74	Professional	$19.05	$22.91	$40.74
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $162.18 / $213.80	Facility	$158.49	$162.18	$213.80
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.22 / $11.22 / $26.92	Facility	$11.22	$11.22	$26.92
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $23.99 / $51.29	Professional	$11.22	$23.99	$51.29
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $26.92 / $32.36	Facility	$13.18	$26.92	$32.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $16.60 / $43.65	Professional	$11.48	$16.60	$43.65

Pennsylvania rates for HCPCS 84145