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 $14.13 / $43.65 / $81.28	Facility	$14.13	$43.65	$81.28
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $14.13 / $30.90	Professional	$10.96	$14.13	$30.90
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $102.33 / $5,011.87	Facility	$77.62	$102.33	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $13.49 / $14.45	Professional	$13.49	$13.49	$14.45
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $26.30 / $57.54	Facility	$12.30	$26.30	$57.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $22.39 / $41.69	Professional	$10.00	$22.39	$41.69
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $10.23 / $25.12	Professional	$8.13	$10.23	$25.12
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.38 / $17.38 / $17.38	Facility	$17.38	$17.38	$17.38
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $17.38 / $29.51	Professional	$14.45	$17.38	$29.51
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $43.65 / $125.89	Facility	$25.70	$43.65	$125.89
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $10.23 / $12.88	Professional	$10.23	$10.23	$12.88
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $28.84 / $58.88	Facility	$12.02	$28.84	$58.88
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $14.13 / $26.30	Professional	$12.02	$14.13	$26.30
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.38 / $20.42 / $22.91	Facility	$17.38	$20.42	$22.91
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $19.95 / $22.91	Professional	$13.18	$19.95	$22.91
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $17.38 / $20.42	Facility	$10.00	$17.38	$20.42
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $10.72 / $26.92	Professional	$7.24	$10.72	$26.92

Pennsylvania rates for HCPCS 85415