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 $38.90 / $95.50 / $181.97	Facility	$38.90	$95.50	$181.97
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $25.70 / $36.31	Professional	$19.95	$25.70	$36.31
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $5,011.87 / $77,624.71	Facility	$35.48	$5,011.87	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $38.90 / $38.90	Professional	$38.90	$38.90	$38.90
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.00 / $38.90 / $107.15	Facility	$1.00	$38.90	$107.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $18.62 / $50.12	Professional	$9.77	$18.62	$50.12
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $50.12 / $50.12	Facility	$50.12	$50.12	$50.12
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $20.89 / $33.88	Professional	$16.60	$20.89	$33.88
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $177.83	Facility	$70.79	$70.79	$177.83
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $51.29 / $112.20	Facility	$32.36	$51.29	$112.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $25.70 / $37.15	Professional	$19.95	$25.70	$37.15
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $9.55 / $38.90	Facility	$9.55	$9.55	$38.90
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $9.55 / $38.02	Professional	$9.55	$9.55	$38.02
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.32 / $158.49 / $199.53	Facility	$8.32	$158.49	$199.53
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $16.60 / $33.88	Professional	$9.33	$16.60	$33.88

Pennsylvania rates for HCPCS 86978