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 $20.42 / $63.10 / $125.89	Facility	$20.42	$63.10	$125.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $14.13 / $44.67	Professional	$10.96	$14.13	$44.67
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $9.77 / $26.30	Professional	$9.55	$9.77	$26.30
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $61.66 / $630.96	Facility	$21.38	$61.66	$630.96
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $10.23 / $26.30	Professional	$10.23	$10.23	$26.30
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $112.20 / $5,011.87	Facility	$85.11	$112.20	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $12.30 / $15.14	Professional	$12.30	$12.30	$15.14
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $24.55 / $54.95	Facility	$11.48	$24.55	$54.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $20.89 / $38.02	Professional	$9.33	$20.89	$38.02
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $13.49 / $22.91	Professional	$7.41	$13.49	$22.91
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $15.85 / $15.85	Facility	$15.85	$15.85	$15.85
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $17.78 / $27.54	Professional	$15.85	$17.78	$27.54
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $40.74 / $77.62	Facility	$24.55	$40.74	$77.62
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $9.55 / $13.18	Professional	$9.55	$9.55	$13.18
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.20 / $60.26 / $691.83	Facility	$18.20	$60.26	$691.83
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $10.23 / $10.23	Professional	$10.23	$10.23	$10.23
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.22 / $26.92 / $56.23	Facility	$11.22	$26.92	$56.23
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $14.13 / $24.55	Professional	$10.96	$14.13	$24.55
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $660.69 / $831.76	Facility	$575.44	$660.69	$831.76
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $15.85 / $75.86	Facility	$9.55	$15.85	$75.86
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $20.89 / $75.86	Professional	$13.49	$20.89	$75.86
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $15.85 / $19.05	Facility	$9.33	$15.85	$19.05
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $11.75 / $27.54	Professional	$7.08	$11.75	$27.54

Pennsylvania rates for HCPCS 86800