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 $2.57 / $8.71 / $19.05	Facility	$2.57	$8.71	$19.05
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $2.63 / $3.55	Professional	$2.00	$2.63	$3.55
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.82 / $1.82 / $1.82	Professional	$1.82	$1.82	$1.82
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.68 / $14.79 / $251.19	Facility	$4.68	$14.79	$251.19
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $21.38 / $5,011.87	Facility	$15.85	$21.38	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.34 / $2.34 / $2.82	Professional	$2.34	$2.34	$2.82
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.19 / $4.47 / $10.00	Facility	$2.19	$4.47	$10.00
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.70 / $3.80 / $7.59	Professional	$1.70	$3.80	$7.59
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.41 / $3.02 / $4.37	Professional	$1.41	$3.02	$4.37
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.02 / $3.02 / $6.31	Facility	$3.02	$3.02	$6.31
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.95 / $3.39 / $5.25	Professional	$2.95	$3.39	$5.25
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.17 / $7.59 / $13.80	Facility	$4.17	$7.59	$13.80
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.82 / $2.00 / $2.34	Professional	$1.82	$2.00	$2.34
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.47 / $12.30 / $28.84	Facility	$3.47	$12.30	$28.84
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.09 / $4.68 / $10.23	Facility	$2.09	$4.68	$10.23
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $2.00 / $4.57	Professional	$2.00	$2.00	$4.57
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $151.36 / $208.93	Facility	$144.54	$151.36	$208.93
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.51 / $1.51 / $5.01	Facility	$1.51	$1.51	$5.01
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.51 / $2.63 / $5.01	Professional	$1.51	$2.63	$5.01
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.78 / $3.02 / $3.63	Facility	$1.78	$3.02	$3.63
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.26 / $2.00 / $5.25	Professional	$1.26	$2.00	$5.25

Pennsylvania rates for HCPCS 85041