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 / $79.43 / $141.25	Facility	$23.99	$79.43	$141.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $18.62 / $39.81	Professional	$15.14	$18.62	$39.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $34.67	Professional	$34.67	$34.67	$34.67
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $102.33 / $489.78	Facility	$32.36	$102.33	$489.78
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 / $19.50	Professional	$16.22	$16.22	$19.50
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 / $12.30 / $30.20	Professional	$9.77	$12.30	$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 / $48.98 / $114.82	Facility	$28.18	$48.98	$114.82
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $12.59 / $14.13	Professional	$12.59	$12.59	$14.13
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $89.13 / $199.53	Facility	$23.99	$89.13	$199.53
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $29.51 / $60.26	Facility	$14.45	$29.51	$60.26
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $16.98 / $32.36	Professional	$15.14	$16.98	$32.36
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $19.50 / $22.91	Facility	$14.79	$19.50	$22.91
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $19.50 / $29.51	Professional	$14.79	$19.50	$29.51
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 86316