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 $45.71 / $125.89 / $269.15	Facility	$45.71	$125.89	$269.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $33.88 / $51.29	Professional	$25.12	$33.88	$51.29
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $22.91 / $38.02	Professional	$22.39	$22.91	$38.02
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $158.49 / $1,445.44	Facility	$50.12	$158.49	$1,445.44
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 / $35.48	Professional	$29.51	$29.51	$35.48
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 $52.48 / $91.20 / $204.17	Facility	$52.48	$91.20	$204.17
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $25.12 / $35.48	Professional	$22.39	$25.12	$35.48
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $134.90 / $446.68	Facility	$43.65	$134.90	$446.68
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $57.54 / $134.90	Facility	$26.30	$57.54	$134.90
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
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $114.82 / $165.96	Facility	$109.65	$114.82	$165.96
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $38.02 / $51.29	Facility	$33.88	$38.02	$51.29
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $38.02 / $54.95	Professional	$33.11	$38.02	$54.95
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 86359