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 $16.60 / $50.12 / $223.87	Facility	$16.60	$50.12	$223.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $10.47 / $89.13	Professional	$8.91	$10.47	$89.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $7.24 / $7.41	Professional	$7.24	$7.24	$7.41
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.38 / $54.95 / $8,317.64	Facility	$17.38	$54.95	$8,317.64
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 / $11.48	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 $14.13 / $28.18 / $53.70	Professional	$14.13	$28.18	$53.70
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 $16.60 / $29.51 / $74.13	Facility	$16.60	$29.51	$74.13
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $7.94 / $10.23	Professional	$7.24	$7.94	$10.23
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $47.86 / $501.19	Facility	$13.80	$47.86	$501.19
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.51 / $18.62 / $53.70	Facility	$8.51	$18.62	$53.70
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.00 / $22.91	Professional	$7.94	$10.00	$22.91
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $263.03 / $398.11	Facility	$257.04	$263.03	$398.11
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.08 / $13.18 / $32.36	Facility	$7.08	$13.18	$32.36
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.61 / $12.88 / $30.20	Professional	$6.61	$12.88	$30.20
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 $5.01 / $7.41 / $20.89	Professional	$5.01	$7.41	$20.89

Pennsylvania rates for HCPCS 86255