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 $15.14 / $38.90 / $165.96	Facility	$15.14	$38.90	$165.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $10.96 / $21.88	Professional	$8.91	$10.96	$21.88
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $23.99 / $1,000.00	Facility	$8.91	$23.99	$1,000.00
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $40.74 / $5,011.87	Facility	$30.20	$40.74	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $10.23 / $10.23	Professional	$10.23	$10.23	$10.23
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $19.95 / $44.67	Facility	$9.33	$19.95	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $16.98 / $32.36	Professional	$7.76	$16.98	$32.36
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.17 / $9.77 / $19.05	Professional	$6.17	$9.77	$19.05
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $13.18 / $13.18	Facility	$13.18	$13.18	$13.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $9.12 / $22.91	Professional	$6.03	$9.12	$22.91
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $38.90 / $69.18	Facility	$15.85	$38.90	$69.18
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.50 / $7.59 / $9.77	Professional	$5.50	$7.59	$9.77
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $20.42 / $46.77	Facility	$10.47	$20.42	$46.77
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $18.62 / $46.77	Facility	$10.47	$18.62	$46.77
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $10.96 / $19.95	Professional	$8.91	$10.96	$19.95
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.51 / $13.18 / $91.20	Facility	$8.51	$13.18	$91.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $12.02 / $14.79	Professional	$8.51	$12.02	$14.79
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.76 / $13.18 / $15.85	Facility	$7.76	$13.18	$15.85
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.17 / $7.76 / $18.20	Professional	$4.17	$7.76	$18.20

Pennsylvania rates for HCPCS 85520