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 $30.20 / $91.20 / $154.88	Facility	$30.20	$91.20	$154.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $28.18 / $69.18	Professional	$19.05	$28.18	$69.18
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.13 / $22.39 / $630.96	Facility	$8.13	$22.39	$630.96
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $186.21 / $5,011.87	Facility	$141.25	$186.21	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Professional	$28.18	$28.18	$28.18
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $52.48 / $123.03	Facility	$24.55	$52.48	$123.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $39.81 / $64.57	Professional	$16.60	$39.81	$64.57
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $23.44 / $51.29	Professional	$16.98	$23.44	$51.29
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Facility	$35.48	$35.48	$35.48
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $35.48 / $61.66	Professional	$28.18	$35.48	$61.66
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $104.71 / $213.80	Facility	$60.26	$104.71	$213.80
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $21.38 / $51.29	Facility	$9.55	$21.38	$51.29
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $53.70 / $104.71	Facility	$28.84	$53.70	$104.71
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $28.18 / $37.15	Professional	$19.05	$28.18	$37.15
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.12 / $12.88 / $35.48	Facility	$9.12	$12.88	$35.48
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $12.88 / $35.48	Professional	$9.12	$12.88	$35.48
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $35.48 / $42.66	Facility	$17.78	$35.48	$42.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $21.38 / $53.70	Professional	$15.14	$21.38	$53.70

Pennsylvania rates for HCPCS 85055