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 $5.50 / $19.50 / $53.70	Facility	$5.50	$19.50	$53.70
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $3.55 / $12.02	Professional	$3.02	$3.55	$12.02
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.57 / $2.57 / $6.92	Professional	$2.57	$2.57	$6.92
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.62 / $645.65 / $1,380.38	Facility	$5.62	$645.65	$1,380.38
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.82 / $2.82 / $2.82	Professional	$2.82	$2.82	$2.82
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $27.54 / $5,011.87	Facility	$20.89	$27.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.39 / $3.39 / $12.30	Professional	$3.39	$3.39	$12.30
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.09 / $6.31 / $14.45	Facility	$3.09	$6.31	$14.45
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.29 / $4.79 / $7.08	Professional	$2.29	$4.79	$7.08
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.04 / $3.98 / $6.17	Professional	$2.04	$3.98	$6.17
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.27 / $4.27 / $4.27	Facility	$4.27	$4.27	$4.27
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.80 / $4.37 / $7.41	Professional	$3.80	$4.37	$7.41
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.76 / $11.75 / $25.70	Facility	$6.76	$11.75	$25.70
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.57 / $3.31 / $4.17	Professional	$2.57	$3.31	$4.17
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.59 / $645.65 / $1,479.11	Facility	$7.59	$645.65	$1,479.11
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.82 / $2.82 / $2.88	Professional	$2.82	$2.82	$2.88
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.02 / $8.51 / $25.12	Facility	$3.02	$8.51	$25.12
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $3.98 / $6.61	Professional	$3.02	$3.98	$6.61
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $1,202.26 / $1,479.11	Facility	$1,047.13	$1,202.26	$1,479.11
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.29 / $2.29 / $2.29	Facility	$2.29	$2.29	$2.29
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.29 / $2.29 / $14.13	Professional	$2.29	$2.29	$14.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.29 / $4.27 / $5.13	Facility	$2.29	$4.27	$5.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.14 / $4.17 / $6.92	Professional	$2.14	$4.17	$6.92

Pennsylvania rates for HCPCS 85610