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 $23.99 / $70.79 / $141.25	Facility	$23.99	$70.79	$141.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $19.05 / $131.83	Professional	$15.14	$19.05	$131.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $12.59 / $12.88	Professional	$10.47	$12.59	$12.88
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $93.33 / $213.80	Facility	$32.36	$93.33	$213.80
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $144.54 / $5,011.87	Facility	$109.65	$144.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $16.22 / $19.95	Professional	$16.22	$16.22	$19.95
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $31.62 / $70.79	Facility	$15.14	$31.62	$70.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $26.92 / $50.12	Professional	$12.02	$26.92	$50.12
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $20.89 / $30.20	Professional	$9.77	$20.89	$30.20
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $20.89 / $20.89	Facility	$20.89	$20.89	$20.89
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $23.44 / $36.31	Professional	$20.89	$23.44	$36.31
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $56.23 / $112.20	Facility	$28.84	$56.23	$112.20
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $12.59 / $17.78	Professional	$12.59	$12.59	$17.78
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $89.13 / $245.47	Facility	$23.99	$89.13	$245.47
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $32.36 / $74.13	Facility	$14.45	$32.36	$74.13
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $18.20 / $30.90	Professional	$15.14	$18.20	$30.90
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $104.71 / $154.88	Facility	$102.33	$104.71	$154.88
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $19.50 / $112.20	Facility	$14.79	$19.50	$112.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $19.50 / $75.86	Professional	$14.79	$19.50	$75.86
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $20.89 / $25.12	Facility	$12.30	$20.89	$25.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $14.79 / $36.31	Professional	$9.33	$14.79	$36.31

Pennsylvania rates for HCPCS 86301