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 $39.81 / $151.36 / $630.96	Facility	$39.81	$151.36	$630.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $46.77 / $162.18	Professional	$14.13	$46.77	$162.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $10.72 / $10.96	Professional	$10.72	$10.72	$10.96
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $75.86 / $831.76	Facility	$26.30	$75.86	$831.76
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $11.75 / $29.51	Professional	$11.75	$11.75	$29.51
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $125.89 / $5,011.87	Facility	$95.50	$125.89	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $14.13 / $16.98	Professional	$14.13	$14.13	$16.98
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $27.54 / $61.66	Facility	$12.88	$27.54	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $22.91 / $43.65	Professional	$10.47	$22.91	$43.65
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $10.47 / $25.70	Professional	$5.25	$10.47	$25.70
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Facility	$17.78	$17.78	$17.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $19.95 / $30.90	Professional	$17.78	$19.95	$30.90
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $44.67 / $85.11	Facility	$24.55	$44.67	$85.11
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $12.02 / $15.14	Professional	$10.72	$12.02	$15.14
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $72.44 / $831.76	Facility	$20.42	$72.44	$831.76
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $11.75 / $11.75	Professional	$10.00	$11.75	$11.75
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $36.31 / $91.20	Facility	$12.59	$36.31	$91.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $15.14 / $26.92	Professional	$12.88	$15.14	$26.92
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $380.19 / $467.74	Facility	$316.23	$380.19	$467.74
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $17.78 / $17.78	Facility	$16.22	$17.78	$17.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $16.22 / $17.78	Professional	$15.14	$16.22	$17.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $17.78 / $21.38	Facility	$10.47	$17.78	$21.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $11.75 / $31.62	Professional	$8.13	$11.75	$31.62

Pennsylvania rates for HCPCS 86235