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 $16.60 / $40.74 / $131.83	Facility	$16.60	$40.74	$131.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $11.48 / $37.15	Professional	$8.91	$11.48	$37.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $7.76 / $21.38	Professional	$7.76	$7.76	$21.38
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.13 / $37.15 / $407.38	Facility	$14.13	$37.15	$407.38
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $8.32 / $16.22	Professional	$8.32	$8.32	$16.22
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $69.18 / $5,011.87	Facility	$51.29	$69.18	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $10.00 / $10.00	Professional	$10.00	$10.00	$10.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $19.50 / $43.65	Facility	$9.33	$19.50	$43.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $16.60 / $31.62	Professional	$7.59	$16.60	$31.62
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $12.88 / $18.62	Professional	$6.03	$12.88	$18.62
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $12.88 / $12.88	Facility	$12.88	$12.88	$12.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $12.88 / $22.39	Professional	$10.23	$12.88	$22.39
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $31.62 / $64.57	Facility	$17.78	$31.62	$64.57
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $8.51 / $10.47	Professional	$7.76	$8.51	$10.47
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $36.31 / $407.38	Facility	$13.80	$36.31	$407.38
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $8.32 / $8.32	Professional	$8.32	$8.32	$8.32
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.12 / $19.95 / $45.71	Facility	$9.12	$19.95	$45.71
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.00 / $20.42	Professional	$7.94	$10.00	$20.42
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $12.88 / $19.50	Facility	$10.47	$12.88	$19.50
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $12.88 / $19.50	Professional	$10.47	$12.88	$19.50
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.59 / $12.88 / $15.49	Facility	$7.59	$12.88	$15.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $8.13 / $19.50	Professional	$5.37	$8.13	$19.50

Pennsylvania rates for HCPCS 86765