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 $19.05 / $48.98 / $165.96	Facility	$19.05	$48.98	$165.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $15.85 / $114.82	Professional	$12.88	$15.85	$114.82
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $79.43 / $660.69	Facility	$25.12	$79.43	$660.69
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $125.89 / $5,011.87	Facility	$95.50	$125.89	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $13.80 / $17.78	Professional	$13.80	$13.80	$17.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $27.54 / $61.66	Facility	$12.88	$27.54	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $22.91 / $43.65	Professional	$10.47	$22.91	$43.65
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $17.78 / $25.70	Professional	$8.32	$17.78	$25.70
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Facility	$17.78	$17.78	$17.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $19.95 / $30.90	Professional	$17.38	$19.95	$30.90
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $51.29 / $128.82	Facility	$35.48	$51.29	$128.82
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $10.72 / $16.98	Professional	$10.72	$10.72	$16.98
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $66.07 / $154.88	Facility	$19.50	$66.07	$154.88
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $27.54 / $63.10	Facility	$14.45	$27.54	$63.10
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $15.14 / $25.12	Professional	$12.88	$15.14	$25.12
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $19.50 / $21.38	Facility	$15.85	$19.50	$21.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $18.20 / $21.38	Professional	$15.85	$18.20	$21.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $17.78 / $21.38	Facility	$10.47	$17.78	$21.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $11.75 / $30.90	Professional	$7.94	$11.75	$30.90

Pennsylvania rates for HCPCS 85230