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 $14.79 / $43.65 / $97.72	Facility	$14.79	$43.65	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $9.77 / $69.18	Professional	$7.08	$9.77	$69.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $6.46 / $6.46	Professional	$6.46	$6.46	$6.46
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $2,089.30 / $2,754.23	Facility	$22.91	$2,089.30	$2,754.23
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $75.86 / $5,011.87	Facility	$57.54	$75.86	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $8.51 / $10.23	Professional	$8.51	$8.51	$10.23
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.76 / $16.60 / $37.15	Facility	$7.76	$16.60	$37.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $13.80 / $26.30	Professional	$6.31	$13.80	$26.30
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.13 / $10.72 / $15.49	Professional	$5.13	$10.72	$15.49
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.72 / $10.72 / $10.72	Facility	$10.72	$10.72	$10.72
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $12.02 / $18.62	Professional	$10.72	$12.02	$18.62
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $24.55 / $81.28	Facility	$14.79	$24.55	$81.28
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $6.46 / $11.48	Professional	$6.46	$6.46	$11.48
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $52.48 / $1,023.29	Facility	$36.31	$52.48	$1,023.29
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.59 / $16.22 / $32.36	Facility	$7.59	$16.22	$32.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $8.91 / $16.60	Professional	$7.08	$8.91	$16.60
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.72 / $13.49 / $13.49	Facility	$10.72	$13.49	$13.49
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $13.49 / $87.10	Professional	$10.72	$13.49	$87.10
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.31 / $10.72 / $12.88	Facility	$6.31	$10.72	$12.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.57 / $7.08 / $18.62	Professional	$4.57	$7.08	$18.62

Pennsylvania rates for HCPCS 87116