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 $69.18 / $208.93 / $371.54	Facility	$69.18	$208.93	$371.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $66.07 / $147.91	Professional	$53.70	$66.07	$147.91
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $154.88 / $891.25	Facility	$57.54	$154.88	$891.25
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $331.13 / $436.52 / $5,011.87	Facility	$331.13	$436.52	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $66.07	Professional	$64.57	$64.57	$66.07
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $123.03 / $239.88	Facility	$58.88	$123.03	$239.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $95.50 / $173.78	Professional	$40.74	$95.50	$173.78
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $47.86 / $117.49	Professional	$38.90	$47.86	$117.49
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Facility	$81.28	$81.28	$81.28
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $81.28 / $141.25	Professional	$67.61	$81.28	$141.25
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $257.04 / $338.84	Facility	$70.79	$257.04	$338.84
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $128.82 / $302.00	Facility	$57.54	$128.82	$302.00
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $138.04 / $281.84	Facility	$66.07	$138.04	$281.84
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $66.07 / $97.72	Professional	$53.70	$66.07	$97.72
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $41.69 / $85.11	Facility	$41.69	$41.69	$85.11
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $81.28 / $371.54	Professional	$41.69	$81.28	$371.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $81.28 / $97.72	Facility	$40.74	$81.28	$97.72
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $54.95 / $123.03	Professional	$34.67	$54.95	$123.03

Pennsylvania rates for HCPCS 86831