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 $10.96 / $36.31 / $117.49	Facility	$10.96	$36.31	$117.49
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $11.48 / $23.44	Professional	$8.91	$11.48	$23.44
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $91.20 / $5,011.87	Facility	$67.61	$91.20	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $10.00 / $12.88	Professional	$10.00	$10.00	$12.88
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 / $7.59 / $18.62	Professional	$6.03	$7.59	$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 $12.88 / $14.45 / $22.39	Professional	$12.88	$14.45	$22.39
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $33.11 / $128.82	Facility	$20.89	$33.11	$128.82
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $9.55 / $10.00	Professional	$7.76	$9.55	$10.00
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.12 / $19.50 / $56.23	Facility	$9.12	$19.50	$56.23
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $10.00 / $17.78	Professional	$8.91	$10.00	$17.78
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,348.96 / $1,348.96 / $2,089.30	Facility	$1,348.96	$1,348.96	$2,089.30
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $19.50 / $19.50	Facility	$10.47	$19.50	$19.50
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $14.13 / $19.50	Professional	$10.47	$14.13	$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 / $8.51 / $22.39	Professional	$5.37	$8.51	$22.39

Pennsylvania rates for HCPCS 86790