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 / $50.12 / $144.54	Facility	$15.85	$50.12	$144.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $10.72 / $33.11	Professional	$8.91	$10.72	$33.11
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $7.24 / $19.95	Professional	$7.24	$7.24	$19.95
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.62 / $53.70 / $457.09	Facility	$18.62	$53.70	$457.09
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $7.94 / $19.95	Professional	$7.94	$7.94	$19.95
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $85.11 / $5,011.87	Facility	$64.57	$85.11	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $9.33 / $11.48	Professional	$9.33	$9.33	$11.48
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.71 / $18.62 / $41.69	Facility	$8.71	$18.62	$41.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $15.49 / $29.51	Professional	$7.08	$15.49	$29.51
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $7.08 / $17.38	Professional	$5.25	$7.08	$17.38
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $12.02 / $12.02	Facility	$12.02	$12.02	$12.02
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $13.49 / $20.89	Professional	$12.02	$13.49	$20.89
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $30.90 / $74.13	Facility	$16.98	$30.90	$74.13
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $7.24 / $10.23	Professional	$7.24	$7.24	$10.23
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $52.48 / $457.09	Facility	$13.80	$52.48	$457.09
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $7.94 / $7.94	Professional	$7.94	$7.94	$7.94
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.51 / $22.39 / $64.57	Facility	$8.51	$22.39	$64.57
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $10.23 / $18.62	Professional	$8.32	$10.23	$18.62
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $60.26 / $95.50	Facility	$58.88	$60.26	$95.50
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.12 / $10.23 / $12.30	Facility	$9.12	$10.23	$12.30
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.19 / $10.23 / $12.30	Professional	$2.19	$10.23	$12.30
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.08 / $12.02 / $14.45	Facility	$7.08	$12.02	$14.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.50 / $7.94 / $20.89	Professional	$5.50	$7.94	$20.89

Pennsylvania rates for HCPCS 86038