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 $25.12 / $63.10 / $165.96	Facility	$25.12	$63.10	$165.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $19.05 / $52.48	Professional	$15.14	$19.05	$52.48
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $12.88 / $12.88	Professional	$12.59	$12.88	$12.88
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $104.71 / $1,122.02	Facility	$38.02	$104.71	$1,122.02
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $144.54 / $5,011.87	Facility	$109.65	$144.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $16.22 / $19.95	Professional	$16.22	$16.22	$19.95
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $31.62 / $70.79	Facility	$15.14	$31.62	$70.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $26.92 / $50.12	Professional	$12.02	$26.92	$50.12
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $20.89 / $30.20	Professional	$9.77	$20.89	$30.20
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $20.89 / $20.89	Facility	$20.89	$20.89	$20.89
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $23.44 / $36.31	Professional	$20.42	$23.44	$36.31
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $52.48 / $104.71	Facility	$32.36	$52.48	$104.71
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $13.80 / $16.22	Professional	$12.59	$13.80	$16.22
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $87.10 / $199.53	Facility	$23.99	$87.10	$199.53
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $34.67 / $91.20	Facility	$14.45	$34.67	$91.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $16.98 / $28.84	Professional	$14.45	$16.98	$28.84
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $309.03 / $467.74	Facility	$295.12	$309.03	$467.74
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $19.50 / $30.90	Facility	$14.79	$19.50	$30.90
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $19.50 / $30.90	Professional	$14.79	$19.50	$30.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $20.89 / $25.12	Facility	$12.30	$20.89	$25.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $15.49 / $36.31	Professional	$9.33	$15.49	$36.31

Pennsylvania rates for HCPCS 84681