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 $15.49 / $52.48 / $95.50	Facility	$15.49	$52.48	$95.50
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $15.14 / $25.12	Professional	$12.02	$15.14	$25.12
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $18.20 / $18.20	Professional	$18.20	$18.20	$18.20
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $70.79 / $131.83	Facility	$22.91	$70.79	$131.83
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $91.20 / $5,011.87	Facility	$69.18	$91.20	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $14.13 / $14.13	Professional	$14.13	$14.13	$14.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $26.30 / $61.66	Facility	$12.02	$26.30	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $16.60 / $26.92	Professional	$8.32	$16.60	$26.92
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.80 / $10.72 / $26.30	Professional	$3.80	$10.72	$26.30
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.20 / $18.20 / $18.20	Facility	$18.20	$18.20	$18.20
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $18.20 / $31.62	Professional	$13.49	$18.20	$31.62
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $51.29 / $77.62	Facility	$37.15	$51.29	$77.62
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $12.02 / $14.79	Professional	$12.02	$12.02	$14.79
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $58.88 / $97.72	Facility	$19.50	$58.88	$97.72
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Professional	$21.38	$21.38	$21.38
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $52.48 / $95.50	Facility	$15.49	$52.48	$95.50
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $15.14 / $26.92	Professional	$10.96	$15.14	$26.92
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $14.45 / $14.45	Facility	$11.48	$14.45	$14.45
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $14.45 / $51.29	Professional	$11.48	$14.45	$51.29
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.71 / $18.20 / $21.88	Facility	$8.71	$18.20	$21.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $16.22 / $25.12	Professional	$10.00	$16.22	$25.12

Pennsylvania rates for HCPCS 86318