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 $12.30 / $34.67 / $154.88	Facility	$12.30	$34.67	$154.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $8.91 / $16.98	Professional	$7.08	$8.91	$16.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $5.75 / $5.75	Professional	$5.75	$5.75	$5.75
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $45.71 / $851.14	Facility	$14.45	$45.71	$851.14
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $70.79 / $5,011.87	Facility	$53.70	$70.79	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $8.91 / $8.91	Professional	$8.91	$8.91	$8.91
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.32 / $16.60 / $38.90	Facility	$8.32	$16.60	$38.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $13.18 / $21.88	Professional	$6.03	$13.18	$21.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.80 / $6.76 / $16.60	Professional	$3.80	$6.76	$16.60
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $11.48 / $11.48	Facility	$11.48	$11.48	$11.48
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $11.48 / $19.95	Professional	$10.72	$11.48	$19.95
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $44.67 / $67.61	Facility	$28.84	$44.67	$67.61
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.92 / $6.92 / $7.59	Professional	$6.92	$6.92	$7.59
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $38.02 / $89.13	Facility	$12.59	$38.02	$89.13
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $17.78 / $39.81	Facility	$9.33	$17.78	$39.81
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $8.91 / $16.98	Professional	$7.94	$8.91	$16.98
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $524.81 / $1,096.48	Facility	$524.81	$524.81	$1,096.48
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $11.48 / $30.20	Facility	$11.48	$11.48	$30.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $11.48 / $30.20	Professional	$8.32	$11.48	$30.20
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.03 / $11.48 / $13.80	Facility	$6.03	$11.48	$13.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $10.47 / $17.78	Professional	$5.25	$10.47	$17.78

Pennsylvania rates for HCPCS 86403