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 $8.32 / $26.92 / $44.67	Facility	$8.32	$26.92	$44.67
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $7.94 / $18.20	Professional	$7.08	$7.94	$18.20
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $70.79 / $5,011.87	Facility	$53.70	$70.79	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $7.94 / $10.00	Professional	$7.94	$7.94	$10.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.41 / $15.49 / $34.67	Facility	$7.41	$15.49	$34.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $12.88 / $24.55	Professional	$6.03	$12.88	$24.55
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.79 / $6.03 / $14.79	Professional	$4.79	$6.03	$14.79
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.23 / $10.23 / $10.23	Facility	$10.23	$10.23	$10.23
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $11.48 / $17.78	Professional	$10.00	$11.48	$17.78
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.32 / $23.44 / $34.67	Facility	$8.32	$23.44	$34.67
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $7.94 / $12.02	Professional	$7.08	$7.94	$12.02
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.08 / $15.49 / $16.60	Facility	$7.08	$15.49	$16.60
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $15.49 / $16.60	Professional	$7.08	$15.49	$16.60
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.03 / $10.23 / $12.30	Facility	$6.03	$10.23	$12.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.27 / $6.76 / $17.78	Professional	$4.27	$6.76	$17.78

Pennsylvania rates for HCPCS 85421