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 $8.32 / $30.20 / $77.62	Facility	$8.32	$30.20	$77.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.79 / $5.89 / $24.55	Professional	$4.79	$5.89	$24.55
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.89 / $3.98 / $12.88	Professional	$3.89	$3.98	$12.88
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $28.84 / $467.74	Facility	$10.00	$28.84	$467.74
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.17 / $4.17 / $4.17	Professional	$4.17	$4.17	$4.17
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $45.71 / $5,011.87	Facility	$33.88	$45.71	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $5.01 / $19.95	Professional	$5.01	$5.01	$19.95
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.68 / $10.00 / $22.39	Facility	$4.68	$10.00	$22.39
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.80 / $7.41 / $11.75	Professional	$3.80	$7.41	$11.75
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $3.80 / $9.33	Professional	$3.02	$3.80	$9.33
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.46 / $6.46 / $6.46	Facility	$6.46	$6.46	$6.46
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $7.24 / $11.22	Professional	$6.31	$7.24	$11.22
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $18.20 / $40.74	Facility	$10.00	$18.20	$40.74
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.89 / $3.89 / $6.03	Professional	$3.89	$3.89	$6.03
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.41 / $28.18 / $446.68	Facility	$7.41	$28.18	$446.68
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.17 / $4.17 / $4.17	Professional	$4.17	$4.17	$4.17
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.57 / $13.80 / $38.02	Facility	$4.57	$13.80	$38.02
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.75 / $11.22	Professional	$3.98	$5.75	$11.22
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $95.50 / $131.83	Facility	$93.33	$95.50	$131.83
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.16 / $4.79 / $9.33	Facility	$3.16	$4.79	$9.33
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.16 / $4.79 / $9.33	Professional	$3.16	$4.79	$9.33
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.55 / $6.46 / $7.76	Facility	$3.55	$6.46	$7.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.69 / $4.27 / $11.22	Professional	$2.69	$4.27	$11.22

Pennsylvania rates for HCPCS 85027