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 $5.62 / $15.85 / $30.90	Facility	$5.62	$15.85	$30.90
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $3.80 / $23.99	Professional	$2.00	$3.80	$23.99
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.80 / $6.31 / $7.59	Professional	$3.80	$6.31	$7.59
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.90 / $14.13 / $208.93	Facility	$4.90	$14.13	$208.93
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.20 / $23.99 / $5,011.87	Facility	$18.20	$23.99	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.95 / $2.95 / $10.96	Professional	$2.95	$2.95	$10.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.75 / $5.50 / $13.49	Facility	$2.75	$5.50	$13.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $4.47 / $7.41	Professional	$2.00	$4.47	$7.41
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.45 / $2.24 / $5.50	Professional	$1.45	$2.24	$5.50
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.80 / $3.80 / $3.80	Facility	$3.80	$3.80	$3.80
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.39 / $3.89 / $6.61	Professional	$3.39	$3.89	$6.61
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.24 / $10.96 / $21.38	Facility	$7.24	$10.96	$21.38
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.29 / $2.57 / $4.79	Professional	$2.29	$2.57	$4.79
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.37 / $13.18 / $30.20	Facility	$4.37	$13.18	$30.20
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.09 / $8.71 / $21.88	Facility	$3.09	$8.71	$21.88
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $3.02 / $5.25	Professional	$2.00	$3.02	$5.25
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $676.08 / $1,047.13	Facility	$602.56	$676.08	$1,047.13
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.78 / $1.78 / $3.80	Facility	$1.78	$1.78	$3.80
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.78 / $3.16 / $4.17	Professional	$1.78	$3.16	$4.17
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.04 / $3.80 / $4.57	Facility	$2.04	$3.80	$4.57
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.58 / $2.45 / $6.03	Professional	$1.58	$2.45	$6.03

Pennsylvania rates for HCPCS 85007