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 $19.50 / $66.07 / $213.80	Facility	$19.50	$66.07	$213.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $13.80 / $93.33	Professional	$10.96	$13.80	$93.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $9.12 / $15.49	Professional	$9.12	$9.12	$15.49
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $85.11 / $1,445.44	Facility	$26.92	$85.11	$1,445.44
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $107.15 / $5,011.87	Facility	$81.28	$107.15	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $12.02 / $13.49	Professional	$12.02	$12.02	$13.49
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $23.44 / $52.48	Facility	$10.96	$23.44	$52.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $19.50 / $37.15	Professional	$8.91	$19.50	$37.15
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $15.49 / $22.39	Professional	$7.24	$15.49	$22.39
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $15.49 / $15.49	Facility	$15.49	$15.49	$15.49
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $16.98 / $26.30	Professional	$15.14	$16.98	$26.30
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $38.02 / $95.50	Facility	$20.89	$38.02	$95.50
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $10.00 / $11.48	Professional	$9.12	$10.00	$11.48
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $74.13 / $169.82	Facility	$17.78	$74.13	$169.82
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.72 / $23.99 / $54.95	Facility	$10.72	$23.99	$54.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.88 / $23.44	Professional	$10.00	$12.88	$23.44
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $162.18 / $295.12	Facility	$138.04	$162.18	$295.12
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $18.20 / $20.42	Facility	$15.49	$18.20	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.90 / $18.20 / $20.42	Professional	$4.90	$18.20	$20.42
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $15.49 / $18.20	Facility	$8.91	$15.49	$18.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.92 / $11.48 / $26.92	Professional	$6.92	$11.48	$26.92

Pennsylvania rates for HCPCS 85306