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 $19.50 / $50.12 / $109.65	Facility	$19.50	$50.12	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $12.88 / $28.84	Professional	$10.96	$12.88	$28.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $9.33 / $9.33	Professional	$9.33	$9.33	$9.33
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $36.31 / $3,162.28	Facility	$13.49	$36.31	$3,162.28
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $61.66 / $5,011.87	Facility	$46.77	$61.66	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $11.75 / $11.75	Professional	$11.75	$11.75	$11.75
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.72 / $22.91 / $51.29	Facility	$10.72	$22.91	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $19.50 / $36.31	Professional	$8.71	$19.50	$36.31
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $8.91 / $21.88	Professional	$7.08	$8.91	$21.88
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $15.14 / $15.14	Facility	$15.14	$15.14	$15.14
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $12.88 / $26.30	Professional	$9.12	$12.88	$26.30
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $38.02 / $70.79	Facility	$25.12	$38.02	$70.79
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $9.12 / $11.22	Professional	$8.71	$9.12	$11.22
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $33.11 / $1,513.56	Facility	$13.49	$33.11	$1,513.56
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $22.91 / $43.65	Facility	$12.30	$22.91	$43.65
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.02 / $19.05	Professional	$10.00	$12.02	$19.05
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $302.00	Facility	$199.53	$199.53	$302.00
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $12.02 / $19.50	Facility	$9.33	$12.02	$19.50
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $13.18 / $19.50	Professional	$9.33	$13.18	$19.50
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $15.14 / $18.20	Facility	$8.91	$15.14	$18.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $9.33 / $20.89	Professional	$6.31	$9.33	$20.89

Pennsylvania rates for HCPCS 86021