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 $39.81 / $123.03 / $251.19	Facility	$39.81	$123.03	$251.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $33.11 / $53.70	Professional	$25.12	$33.11	$53.70
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $22.39 / $22.39	Professional	$22.39	$22.39	$22.39
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $263.03 / $5,011.87	Facility	$199.53	$263.03	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $29.51 / $33.11	Professional	$29.51	$29.51	$33.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $57.54 / $128.82	Facility	$26.92	$57.54	$128.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $48.98 / $91.20	Professional	$22.39	$48.98	$91.20
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $22.39 / $54.95	Professional	$16.22	$22.39	$54.95
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Facility	$38.02	$38.02	$38.02
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $41.69 / $66.07	Professional	$38.02	$41.69	$66.07
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $91.20 / $229.09	Facility	$46.77	$91.20	$229.09
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $25.12 / $29.51	Professional	$22.39	$25.12	$29.51
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $57.54 / $128.82	Facility	$26.30	$57.54	$128.82
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $30.20 / $45.71	Professional	$25.12	$30.20	$45.71
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $38.02 / $120.23	Facility	$33.88	$38.02	$120.23
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $38.02 / $120.23	Professional	$33.88	$38.02	$120.23
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $38.02 / $45.71	Facility	$21.88	$38.02	$45.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $24.55 / $66.07	Professional	$16.98	$24.55	$66.07

Pennsylvania rates for HCPCS 86355