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 $26.30 / $79.43 / $141.25	Facility	$26.30	$79.43	$141.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $25.12 / $56.23	Professional	$19.95	$25.12	$56.23
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $42.66 / $2,454.71	Facility	$15.85	$42.66	$2,454.71
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $162.18 / $5,011.87	Facility	$120.23	$162.18	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $23.99 / $23.99	Professional	$23.99	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $44.67 / $104.71	Facility	$20.89	$44.67	$104.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $34.67 / $58.88	Professional	$14.45	$34.67	$58.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $18.20 / $44.67	Professional	$9.55	$18.20	$44.67
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility	$30.90	$30.90	$30.90
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $28.18 / $53.70	Professional	$25.12	$28.18	$53.70
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $91.20 / $208.93	Facility	$53.70	$91.20	$208.93
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $21.88 / $52.48	Professional	$18.62	$21.88	$52.48
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $36.31 / $85.11	Facility	$15.85	$36.31	$85.11
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $47.86 / $104.71	Facility	$25.12	$47.86	$104.71
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $25.12 / $37.15	Professional	$19.95	$25.12	$37.15
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $30.90 / $52.48	Facility	$26.30	$30.90	$52.48
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $26.30 / $52.48	Professional	$12.30	$26.30	$52.48
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $30.90 / $37.15	Facility	$15.49	$30.90	$37.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $18.62 / $46.77	Professional	$12.88	$18.62	$46.77

Pennsylvania rates for HCPCS 85397