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 $16.22 / $56.23 / $169.82	Facility	$16.22	$56.23	$169.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.30 / $33.88	Professional	$10.00	$12.30	$33.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $8.32 / $13.80	Professional	$8.32	$8.32	$13.80
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.62 / $53.70 / $281.84	Facility	$18.62	$53.70	$281.84
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $8.91 / $22.39	Professional	$8.91	$8.91	$22.39
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $95.50 / $5,011.87	Facility	$72.44	$95.50	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $10.72 / $12.88	Professional	$10.72	$10.72	$12.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $20.89 / $46.77	Facility	$10.00	$20.89	$46.77
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $17.78 / $33.11	Professional	$7.94	$17.78	$33.11
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $8.13 / $19.95	Professional	$5.25	$8.13	$19.95
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $13.80 / $13.80	Facility	$13.80	$13.80	$13.80
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $15.49 / $23.99	Professional	$13.80	$15.49	$23.99
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $34.67 / $87.10	Facility	$21.38	$34.67	$87.10
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $9.12 / $10.47	Professional	$8.32	$9.12	$10.47
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $51.29 / $281.84	Facility	$15.85	$51.29	$281.84
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $8.91 / $8.91	Professional	$8.91	$8.91	$8.91
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $25.70 / $75.86	Facility	$9.55	$25.70	$75.86
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.02 / $20.42	Professional	$10.00	$12.02	$20.42
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $380.19 / $588.84	Facility	$371.54	$380.19	$588.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.07 / $12.02 / $13.80	Facility	$0.07	$12.02	$13.80
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.07 / $12.02 / $19.50	Professional	$0.07	$12.02	$19.50
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.13 / $13.80 / $16.60	Facility	$8.13	$13.80	$16.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.17 / $9.12 / $23.99	Professional	$6.17	$9.12	$23.99

Pennsylvania rates for HCPCS 86225