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 $15.85 / $51.29 / $100.00	Facility	$15.85	$51.29	$100.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $15.85 / $26.92	Professional	$12.88	$15.85	$26.92
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $11.22 / $11.22	Professional	$11.22	$11.22	$11.22
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $60.26 / $562.34	Facility	$21.38	$60.26	$562.34
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 $14.45 / $14.45 / $14.45	Professional	$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $28.18 / $63.10	Facility	$13.49	$28.18	$63.10
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $24.55 / $45.71	Professional	$10.96	$24.55	$45.71
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $18.62 / $26.92	Professional	$8.71	$18.62	$26.92
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.62 / $18.62 / $18.62	Facility	$18.62	$18.62	$18.62
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $18.62 / $32.36	Professional	$15.14	$18.62	$32.36
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $51.29 / $114.82	Facility	$25.70	$51.29	$114.82
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $14.13 / $15.85	Professional	$11.22	$14.13	$15.85
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $50.12 / $117.49	Facility	$19.05	$50.12	$117.49
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $28.84 / $66.07	Facility	$13.18	$28.84	$66.07
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $15.14 / $28.84	Professional	$12.88	$15.14	$28.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.50 / $11.75 / $20.42	Facility	$5.50	$11.75	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.50 / $16.60 / $21.38	Professional	$5.50	$16.60	$21.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $18.62 / $22.39	Facility	$10.96	$18.62	$22.39
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $12.88 / $28.18	Professional	$8.51	$12.88	$28.18

Pennsylvania rates for HCPCS 85549