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 $15.14 / $41.69 / $120.23	Facility	$15.14	$41.69	$120.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.47 / $19.95	Professional	$7.94	$10.47	$19.95
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $7.24 / $7.24	Professional	$7.24	$7.24	$7.24
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $53.70 / $1,047.13	Facility	$16.98	$53.70	$1,047.13
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $85.11 / $5,011.87	Facility	$63.10	$85.11	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $9.33 / $11.22	Professional	$9.33	$9.33	$11.22
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 / $28.84	Professional	$7.08	$15.49	$28.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $12.02 / $17.38	Professional	$5.62	$12.02	$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 / $29.51 / $69.18	Facility	$16.98	$29.51	$69.18
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $7.24 / $8.91	Professional	$7.24	$7.24	$8.91
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $44.67 / $104.71	Facility	$13.80	$44.67	$104.71
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.32 / $17.78 / $35.48	Facility	$8.32	$17.78	$35.48
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $8.91 / $15.14	Professional	$7.94	$8.91	$15.14
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.23 / $12.02 / $15.14	Facility	$10.23	$12.02	$15.14
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $15.14 / $64.57	Professional	$10.23	$15.14	$64.57
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 $5.25 / $7.94 / $20.89	Professional	$5.25	$7.94	$20.89

Pennsylvania rates for HCPCS 86161