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 $24.55 / $79.43 / $158.49	Facility	$24.55	$79.43	$158.49
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $19.05 / $128.82	Professional	$15.49	$19.05	$128.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $12.59 / $20.89	Professional	$12.59	$12.59	$20.89
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $93.33 / $295.12	Facility	$32.36	$93.33	$295.12
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 $28.18 / $52.48 / $123.03	Facility	$28.18	$52.48	$123.03
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $13.80 / $17.78	Professional	$12.59	$13.80	$17.78
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $91.20 / $251.19	Facility	$23.99	$91.20	$251.19
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $31.62 / $91.20	Facility	$14.45	$31.62	$91.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $17.78 / $32.36	Professional	$15.14	$17.78	$32.36
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $165.96 / $288.40	Facility	$138.04	$165.96	$288.40
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 86304