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 $15.85 / $50.12 / $93.33	Facility	$15.85	$50.12	$93.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $15.85 / $37.15	Professional	$12.88	$15.85	$37.15
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $134.90 / $5,011.87	Facility	$102.33	$134.90	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $15.14 / $18.20	Professional	$15.14	$15.14	$18.20
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $29.51 / $66.07	Facility	$13.80	$29.51	$66.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $25.12 / $46.77	Professional	$11.48	$25.12	$46.77
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $19.50 / $28.18	Professional	$9.12	$19.50	$28.18
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $19.50 / $19.50	Facility	$19.50	$19.50	$19.50
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $21.38 / $33.88	Professional	$19.05	$21.38	$33.88
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $52.48 / $134.90	Facility	$27.54	$52.48	$134.90
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $11.48 / $11.48	Professional	$11.48	$11.48	$11.48
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $29.51 / $57.54	Facility	$13.49	$29.51	$57.54
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $15.85 / $26.92	Professional	$12.88	$15.85	$26.92
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.21 / $18.62 / $25.70	Facility	$0.21	$18.62	$25.70
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $18.62 / $27.54	Professional	$14.13	$18.62	$27.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $19.50 / $23.44	Facility	$11.48	$19.50	$23.44
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $12.59 / $33.11	Professional	$8.13	$12.59	$33.11

Pennsylvania rates for HCPCS 85280