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 $7.41 / $23.99 / $77.62	Facility	$7.41	$23.99	$77.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.01 / $15.14	Professional	$3.98	$5.01	$15.14
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.39 / $3.39 / $5.62	Professional	$3.39	$3.39	$5.62
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.71 / $25.12 / $213.80	Facility	$8.71	$25.12	$213.80
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.72 / $3.72 / $9.33	Professional	$3.72	$3.72	$9.33
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $39.81 / $5,011.87	Facility	$30.20	$39.81	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.47 / $4.47 / $5.37	Professional	$4.47	$4.47	$5.37
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.07 / $8.71 / $19.05	Facility	$4.07	$8.71	$19.05
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.39 / $7.24 / $13.80	Professional	$3.39	$7.24	$13.80
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.63 / $5.25 / $8.13	Professional	$2.63	$5.25	$8.13
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.62 / $5.62 / $5.62	Facility	$5.62	$5.62	$5.62
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $6.31 / $9.77	Professional	$5.62	$6.31	$9.77
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.94 / $15.14 / $36.31	Facility	$7.94	$15.14	$36.31
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.39 / $3.39 / $5.50	Professional	$3.39	$3.39	$5.50
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.46 / $23.99 / $213.80	Facility	$6.46	$23.99	$213.80
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.72 / $3.72 / $3.72	Professional	$3.72	$3.72	$3.72
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.98 / $10.47 / $31.62	Facility	$3.98	$10.47	$31.62
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.01 / $8.91	Professional	$3.98	$5.01	$8.91
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $269.15 / $416.87	Facility	$263.03	$269.15	$416.87
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.62 / $6.61 / $7.08	Facility	$5.62	$6.61	$7.08
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $6.76 / $8.13	Professional	$5.01	$6.76	$8.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.31 / $5.62 / $6.76	Facility	$3.31	$5.62	$6.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.51 / $4.27 / $10.00	Professional	$2.51	$4.27	$10.00

Pennsylvania rates for HCPCS 86431