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 $7.24 / $16.60 / $39.81	Facility	$7.24	$16.60	$39.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $4.90 / $22.39	Professional	$3.98	$4.90	$22.39
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $24.55 / $281.84	Facility	$8.91	$24.55	$281.84
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $38.90 / $5,011.87	Facility	$29.51	$38.90	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.37 / $4.37 / $5.50	Professional	$4.37	$4.37	$5.50
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.98 / $8.51 / $19.05	Facility	$3.98	$8.51	$19.05
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.24 / $7.24 / $13.80	Professional	$3.24	$7.24	$13.80
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.45 / $3.31 / $8.13	Professional	$1.45	$3.31	$8.13
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.62 / $5.62 / $5.62	Facility	$5.62	$5.62	$5.62
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.50 / $6.17 / $9.55	Professional	$5.50	$6.17	$9.55
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $18.62 / $42.66	Facility	$10.96	$18.62	$42.66
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.31 / $3.31 / $7.76	Professional	$3.31	$3.31	$7.76
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.46 / $20.89 / $47.86	Facility	$6.46	$20.89	$47.86
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.47 / $9.33 / $17.78	Facility	$4.47	$9.33	$17.78
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $3.98 / $8.32	Professional	$3.98	$3.98	$8.32
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $83.18 / $114.82	Facility	$79.43	$83.18	$114.82
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.62 / $18.20 / $19.50	Facility	$5.62	$18.20	$19.50
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.17 / $15.85 / $38.90	Professional	$4.17	$15.85	$38.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.31 / $5.62 / $6.61	Facility	$3.31	$5.62	$6.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.34 / $3.63 / $9.77	Professional	$2.34	$3.63	$9.77

Pennsylvania rates for HCPCS 85046