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 $13.49 / $36.31 / $100.00	Facility	$13.49	$36.31	$100.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $7.76 / $60.26	Professional	$6.31	$7.76	$60.26
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.89 / $5.89 / $9.77	Professional	$5.89	$5.89	$9.77
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $38.90 / $295.12	Facility	$13.80	$38.90	$295.12
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $60.26 / $5,011.87	Facility	$44.67	$60.26	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $7.59 / $8.13	Professional	$7.59	$7.59	$8.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.08 / $14.13 / $33.88	Facility	$7.08	$14.13	$33.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.90 / $11.22 / $20.89	Professional	$4.90	$11.22	$20.89
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.57 / $6.92 / $14.13	Professional	$4.57	$6.92	$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 $8.32 / $9.77 / $16.98	Professional	$8.32	$9.77	$16.98
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $25.70 / $54.95	Facility	$14.45	$25.70	$54.95
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.89 / $5.89 / $8.32	Professional	$5.89	$5.89	$8.32
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.22 / $38.02 / $295.12	Facility	$11.22	$38.02	$295.12
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.76 / $14.45 / $39.81	Facility	$6.76	$14.45	$39.81
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $7.94 / $14.79	Professional	$6.03	$7.94	$14.79
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $10.00 / $10.23	Facility	$8.91	$10.00	$10.23
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $10.00 / $10.23	Professional	$7.08	$10.00	$10.23
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.01 / $9.77 / $11.75	Facility	$5.01	$9.77	$11.75
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.07 / $6.17 / $14.79	Professional	$4.07	$6.17	$14.79

Pennsylvania rates for HCPCS 85384