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 / $58.88 / $125.89	Facility	$16.60	$58.88	$125.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.96 / $30.20	Professional	$7.94	$10.96	$30.20
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $7.41 / $19.50	Professional	$6.03	$7.41	$19.50
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.76 / $18.20 / $707.95	Facility	$6.76	$18.20	$707.95
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $54.95 / $5,011.87	Facility	$41.69	$54.95	$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 $8.13 / $15.49 / $34.67	Facility	$8.13	$15.49	$34.67
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 / $6.92 / $17.38	Professional	$5.62	$6.92	$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 $8.71 / $10.23 / $20.89	Professional	$8.71	$10.23	$20.89
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $28.18 / $57.54	Facility	$15.85	$28.18	$57.54
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $7.24 / $10.00	Professional	$7.24	$7.24	$10.00
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.94 / $16.22 / $35.48	Facility	$7.94	$16.22	$35.48
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.51 / $18.20 / $39.81	Facility	$8.51	$18.20	$39.81
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $8.91 / $16.60	Professional	$7.08	$8.91	$16.60
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $114.82 / $165.96	Facility	$109.65	$114.82	$165.96
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.71 / $12.02 / $16.60	Facility	$8.71	$12.02	$16.60
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $10.72 / $14.13	Professional	$8.71	$10.72	$14.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.50 / $12.02 / $14.45	Facility	$5.50	$12.02	$14.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.79 / $7.24 / $17.78	Professional	$4.79	$7.24	$17.78

Pennsylvania rates for HCPCS 86258