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 $11.22 / $44.67 / $95.50	Facility	$11.22	$44.67	$95.50
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.47 / $30.20	Professional	$7.94	$10.47	$30.20
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $6.03 / $7.24	Professional	$6.03	$6.03	$7.24
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.08 / $19.05 / $1,380.38	Facility	$7.08	$19.05	$1,380.38
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $57.54 / $5,011.87	Facility	$43.65	$57.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $9.33 / $9.33	Professional	$9.33	$9.33	$9.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.51 / $15.85 / $36.31	Facility	$8.51	$15.85	$36.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.50 / $11.22 / $18.20	Professional	$5.50	$11.22	$18.20
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $7.08 / $17.38	Professional	$5.62	$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 $9.12 / $10.72 / $20.89	Professional	$9.12	$10.72	$20.89
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $28.84 / $69.18	Facility	$16.22	$28.84	$69.18
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $7.94 / $9.12	Professional	$7.24	$7.94	$9.12
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.08 / $16.22 / $37.15	Facility	$7.08	$16.22	$37.15
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.51 / $16.60 / $41.69	Facility	$8.51	$16.60	$41.69
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $8.91 / $14.13	Professional	$7.08	$8.91	$14.13
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.12 / $10.23 / $13.18	Facility	$9.12	$10.23	$13.18
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $10.23 / $12.30	Professional	$6.46	$10.23	$12.30
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.75 / $12.02 / $14.45	Facility	$5.75	$12.02	$14.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.13 / $7.24 / $18.62	Professional	$5.13	$7.24	$18.62

Pennsylvania rates for HCPCS 86231