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 $10.23 / $28.18 / $83.18	Facility	$10.23	$28.18	$83.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $7.08 / $14.79	Professional	$5.01	$7.08	$14.79
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $15.49 / $15.49	Professional	$15.49	$15.49	$15.49
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $33.11 / $1,584.89	Facility	$12.30	$33.11	$1,584.89
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $50.12 / $5,011.87	Facility	$38.02	$50.12	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $7.59 / $7.59	Professional	$7.59	$7.59	$7.59
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.61 / $14.13 / $33.88	Facility	$6.61	$14.13	$33.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.37 / $10.96 / $17.38	Professional	$4.37	$10.96	$17.38
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.57 / $8.13 / $14.13	Professional	$4.57	$8.13	$14.13
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.77 / $9.77 / $9.77	Facility	$9.77	$9.77	$9.77
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $9.33 / $16.98	Professional	$7.41	$9.33	$16.98
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $42.66 / $199.53	Facility	$15.14	$42.66	$199.53
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $7.59 / $7.59	Professional	$7.59	$7.59	$7.59
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $29.51 / $1,230.27	Facility	$14.45	$29.51	$1,230.27
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.94 / $18.62 / $33.11	Facility	$7.94	$18.62	$33.11
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $7.08 / $12.59	Professional	$6.03	$7.08	$12.59
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $8.91 / $10.00	Facility	$8.91	$8.91	$10.00
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $8.91 / $10.00	Professional	$6.46	$8.91	$10.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.79 / $9.77 / $11.75	Facility	$4.79	$9.77	$11.75
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.07 / $6.03 / $14.45	Professional	$4.07	$6.03	$14.45

Pennsylvania rates for HCPCS 85378