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 $11.48 / $25.70 / $64.57	Facility	$11.48	$25.70	$64.57
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $7.94 / $18.20	Professional	$7.08	$7.94	$18.20
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.72 / $28.84 / $269.15	Facility	$10.72	$28.84	$269.15
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $48.98 / $5,011.87	Facility	$37.15	$48.98	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $7.76 / $7.76	Professional	$7.76	$7.76	$7.76
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.08 / $15.14 / $33.88	Facility	$7.08	$15.14	$33.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $12.59 / $23.99	Professional	$5.75	$12.59	$23.99
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.68 / $8.51 / $14.13	Professional	$4.68	$8.51	$14.13
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.77 / $9.77 / $9.77	Facility	$9.77	$9.77	$9.77
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $9.12 / $16.98	Professional	$7.41	$9.12	$16.98
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $22.39 / $58.88	Facility	$16.22	$22.39	$58.88
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.89 / $5.89 / $16.22	Professional	$5.89	$5.89	$16.22
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.77 / $23.99 / $57.54	Facility	$9.77	$23.99	$57.54
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.94 / $18.20 / $33.88	Facility	$7.94	$18.20	$33.88
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $7.94 / $15.14	Professional	$7.08	$7.94	$15.14
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.59 / $9.77 / $27.54	Facility	$7.59	$9.77	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $9.77 / $26.92	Professional	$7.59	$9.77	$26.92
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.75 / $9.77 / $11.75	Facility	$5.75	$9.77	$11.75
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.27 / $6.46 / $14.79	Professional	$4.27	$6.46	$14.79

Pennsylvania rates for HCPCS 85635