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 $27.54 / $66.07 / $169.82	Facility	$27.54	$66.07	$169.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $19.05 / $42.66	Professional	$15.14	$19.05	$42.66
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $12.88 / $21.38	Professional	$12.88	$12.88	$21.38
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $81.28 / $5,370.32	Facility	$25.70	$81.28	$5,370.32
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $138.04 / $5,011.87	Facility	$104.71	$138.04	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $16.60 / $19.50	Professional	$16.60	$16.60	$19.50
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $32.36 / $72.44	Facility	$15.14	$32.36	$72.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $27.54 / $51.29	Professional	$12.59	$27.54	$51.29
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $20.89 / $30.90	Professional	$10.00	$20.89	$30.90
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Facility	$21.38	$21.38	$21.38
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $21.88 / $37.15	Professional	$19.05	$21.88	$37.15
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $54.95 / $117.49	Facility	$28.84	$54.95	$117.49
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $14.13 / $15.85	Professional	$12.88	$14.13	$15.85
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $69.18 / $467.74	Facility	$24.55	$69.18	$467.74
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $33.11 / $93.33	Facility	$14.79	$33.11	$93.33
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $18.20 / $29.51	Professional	$15.14	$18.20	$29.51
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $275.42	Facility	$186.21	$186.21	$275.42
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $19.95 / $158.49	Facility	$19.95	$19.95	$158.49
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $19.95 / $158.49	Professional	$12.59	$19.95	$158.49
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $21.38 / $25.70	Facility	$12.59	$21.38	$25.70
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $13.80 / $34.67	Professional	$8.91	$13.80	$34.67

Pennsylvania rates for HCPCS 84305