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 $3.98 / $11.22 / $48.98	Facility	$3.98	$11.22	$48.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $2.40 / $16.98	Professional	$2.00	$2.40	$16.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.62 / $1.62 / $4.47	Professional	$1.62	$1.62	$4.47
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.72 / $10.72 / $138.04	Facility	$3.72	$10.72	$138.04
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.78 / $1.78 / $1.82	Professional	$1.78	$1.78	$1.82
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.13 / $19.05 / $5,011.87	Facility	$14.13	$19.05	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.09 / $2.09 / $2.57	Professional	$2.09	$2.09	$2.57
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.95 / $3.98 / $8.91	Facility	$1.95	$3.98	$8.91
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.55 / $3.31 / $6.31	Professional	$1.55	$3.31	$6.31
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.26 / $2.04 / $3.89	Professional	$1.26	$2.04	$3.89
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.69 / $2.69 / $2.69	Facility	$2.69	$2.69	$2.69
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.63 / $3.02 / $4.68	Professional	$2.63	$3.02	$4.68
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.98 / $7.76 / $40.74	Facility	$3.98	$7.76	$40.74
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.62 / $1.78 / $2.29	Professional	$1.62	$1.78	$2.29
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.09 / $10.23 / $22.91	Facility	$3.09	$10.23	$22.91
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.78 / $1.78 / $1.78	Professional	$1.78	$1.78	$1.78
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.91 / $5.62 / $15.14	Facility	$1.91	$5.62	$15.14
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $2.04 / $4.17	Professional	$2.00	$2.04	$4.17
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $67.61 / $89.13	Facility	$64.57	$67.61	$89.13
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.63 / $2.69 / $6.76	Facility	$2.63	$2.69	$6.76
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.40 / $2.69 / $6.76	Professional	$2.40	$2.69	$6.76
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.58 / $2.69 / $3.24	Facility	$1.58	$2.69	$3.24
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.23 / $2.00 / $4.68	Professional	$1.23	$2.00	$4.68

Pennsylvania rates for HCPCS 85652