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 $14.45 / $46.77 / $141.25	Facility	$14.45	$46.77	$141.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.47 / $74.13	Professional	$7.94	$10.47	$74.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $11.75 / $11.75	Professional	$11.75	$11.75	$11.75
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $36.31 / $891.25	Facility	$13.49	$36.31	$891.25
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $61.66 / $5,011.87	Facility	$46.77	$61.66	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $9.33 / $9.33	Professional	$9.33	$9.33	$9.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.51 / $18.20 / $39.81	Facility	$8.51	$18.20	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.92 / $15.14 / $28.84	Professional	$6.92	$15.14	$28.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $9.55 / $16.98	Professional	$5.62	$9.55	$16.98
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $11.75 / $11.75	Facility	$11.75	$11.75	$11.75
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $11.48 / $20.42	Professional	$9.12	$11.48	$20.42
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $28.84 / $54.95	Facility	$16.22	$28.84	$54.95
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $7.08 / $8.91	Professional	$7.08	$7.08	$8.91
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $30.90 / $70.79	Facility	$12.88	$30.90	$70.79
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.32 / $19.95 / $41.69	Facility	$8.32	$19.95	$41.69
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.00 / $19.05	Professional	$7.94	$10.00	$19.05
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $407.38 / $446.68 / $645.65	Facility	$407.38	$446.68	$645.65
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.07 / $6.46 / $11.75	Facility	$0.07	$6.46	$11.75
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $9.33 / $12.59	Professional	$6.46	$9.33	$12.59
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.92 / $11.75 / $14.13	Facility	$6.92	$11.75	$14.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $7.94 / $18.62	Professional	$5.37	$7.94	$18.62

Pennsylvania rates for HCPCS 85300