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 $12.30 / $37.15 / $91.20	Facility	$12.30	$37.15	$91.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $8.32 / $26.30	Professional	$7.08	$8.32	$26.30
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.68 / $5.62 / $5.75	Professional	$4.68	$5.62	$5.75
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $46.77 / $1,047.13	Facility	$14.79	$46.77	$1,047.13
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $66.07 / $5,011.87	Facility	$50.12	$66.07	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $7.41 / $8.91	Professional	$7.41	$7.41	$8.91
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.76 / $14.45 / $32.36	Facility	$6.76	$14.45	$32.36
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.50 / $12.02 / $22.39	Professional	$5.50	$12.02	$22.39
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.47 / $8.32 / $13.80	Professional	$4.47	$8.32	$13.80
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $9.33 / $9.33	Facility	$9.33	$9.33	$9.33
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $10.47 / $16.22	Professional	$9.33	$10.47	$16.22
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $25.12 / $56.23	Facility	$15.85	$25.12	$56.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $5.62 / $7.08	Professional	$5.62	$5.62	$7.08
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $39.81 / $91.20	Facility	$10.96	$39.81	$91.20
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.61 / $17.38 / $32.36	Facility	$6.61	$17.38	$32.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $7.94 / $13.18	Professional	$6.03	$7.94	$13.18
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $1,318.26 / $1,348.96	Facility	$812.83	$1,318.26	$1,348.96
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.17 / $10.72 / $12.02	Facility	$4.17	$10.72	$12.02
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.17 / $10.72 / $12.02	Professional	$4.17	$10.72	$12.02
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.50 / $9.33 / $11.22	Facility	$5.50	$9.33	$11.22
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.27 / $7.08 / $16.22	Professional	$4.27	$7.08	$16.22

Pennsylvania rates for HCPCS 87045