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 $3.24 / $9.55 / $28.18	Facility	$3.24	$9.55	$28.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.86 / $2.88 / $15.14	Professional	$1.86	$2.88	$15.14
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.20 / $1.41 / $3.47	Professional	$1.20	$1.41	$3.47
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.24 / $9.12 / $165.96	Facility	$3.24	$9.12	$165.96
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.32 / $1.55 / $1.55	Professional	$1.32	$1.55	$1.55
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $16.60 / $5,011.87	Facility	$12.59	$16.60	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.86 / $1.86 / $7.76	Professional	$1.86	$1.86	$7.76
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.70 / $3.47 / $7.76	Facility	$1.70	$3.47	$7.76
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.38 / $2.69 / $4.27	Professional	$1.38	$2.69	$4.27
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.12 / $2.04 / $3.47	Professional	$1.12	$2.04	$3.47
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.34 / $2.34 / $2.34	Facility	$2.34	$2.34	$2.34
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.29 / $2.63 / $4.07	Professional	$2.29	$2.63	$4.07
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.24 / $5.25 / $11.75	Facility	$3.24	$5.25	$11.75
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.41 / $1.78 / $2.04	Professional	$1.41	$1.78	$2.04
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.75 / $9.12 / $263.03	Facility	$5.75	$9.12	$263.03
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.55 / $1.55 / $1.55	Professional	$1.55	$1.55	$1.55
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.66 / $3.39 / $8.13	Facility	$1.66	$3.39	$8.13
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $2.14 / $4.17	Professional	$1.00	$2.14	$4.17
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $239.88 / $489.78	Facility	$186.21	$239.88	$489.78
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.89 / $3.47 / $11.75	Facility	$0.89	$3.47	$11.75
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.89 / $3.47 / $11.75	Professional	$0.89	$3.47	$11.75
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.38 / $2.34 / $2.82	Facility	$1.38	$2.34	$2.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.41 / $2.34 / $4.07	Professional	$1.41	$2.34	$4.07

Pennsylvania rates for HCPCS 85018