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 $35.48 / $100.00 / $194.98	Facility	$35.48	$100.00	$194.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $25.12 / $51.29	Professional	$18.20	$25.12	$51.29
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $17.38 / $46.77	Professional	$16.98	$17.38	$46.77
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $134.90 / $758.58	Facility	$42.66	$134.90	$758.58
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $199.53 / $5,011.87	Facility	$147.91	$199.53	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $21.88 / $26.30	Professional	$21.88	$21.88	$26.30
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $42.66 / $95.50	Facility	$20.42	$42.66	$95.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $36.31 / $67.61	Professional	$16.60	$36.31	$67.61
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $27.54 / $40.74	Professional	$13.18	$27.54	$40.74
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Facility	$28.18	$28.18	$28.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $31.62 / $48.98	Professional	$27.54	$31.62	$48.98
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $72.44 / $173.78	Facility	$39.81	$72.44	$173.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $16.98 / $23.99	Professional	$16.98	$16.98	$23.99
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $117.49 / $269.15	Facility	$32.36	$117.49	$269.15
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $43.65 / $141.25	Facility	$19.50	$43.65	$141.25
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $22.91 / $43.65	Professional	$19.95	$22.91	$43.65
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $660.69 / $1,047.13	Facility	$660.69	$660.69	$1,047.13
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $38.02 / $114.82	Facility	$12.88	$38.02	$114.82
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $38.02 / $114.82	Professional	$12.88	$38.02	$114.82
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $28.18 / $33.88	Facility	$16.60	$28.18	$33.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $18.62 / $48.98	Professional	$12.59	$18.62	$48.98

Pennsylvania rates for HCPCS 84207