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 $13.18 / $42.66 / $93.33	Facility	$13.18	$42.66	$93.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $7.76 / $30.90	Professional	$6.03	$7.76	$30.90
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $5.25 / $8.71	Professional	$5.25	$5.25	$8.71
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $38.90 / $933.25	Facility	$13.49	$38.90	$933.25
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $5.62 / $14.13	Professional	$5.62	$5.62	$14.13
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $60.26 / $5,011.87	Facility	$45.71	$60.26	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.76 / $6.76 / $8.32	Professional	$6.76	$6.76	$8.32
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.17 / $13.18 / $28.84	Facility	$6.17	$13.18	$28.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.13 / $10.96 / $20.89	Professional	$5.13	$10.96	$20.89
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.07 / $6.61 / $12.59	Professional	$4.07	$6.61	$12.59
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.71 / $8.71 / $8.71	Facility	$8.71	$8.71	$8.71
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $9.55 / $15.14	Professional	$8.71	$9.55	$15.14
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $23.99 / $56.23	Facility	$12.59	$23.99	$56.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $5.75 / $8.51	Professional	$5.25	$5.75	$8.51
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $38.02 / $512.86	Facility	$10.00	$38.02	$512.86
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $5.62 / $5.62	Professional	$5.62	$5.62	$5.62
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.03 / $18.20 / $47.86	Facility	$6.03	$18.20	$47.86
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $7.08 / $15.14	Professional	$6.03	$7.08	$15.14
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,709.64 / $9,772.37 / $12,302.69	Facility	$8,709.64	$9,772.37	$12,302.69
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.08 / $7.08 / $8.71	Facility	$7.08	$7.08	$8.71
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $7.59 / $10.47	Professional	$7.08	$7.59	$10.47
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.79 / $8.71 / $10.47	Facility	$4.79	$8.71	$10.47
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.89 / $5.75 / $15.14	Professional	$3.89	$5.75	$15.14

Pennsylvania rates for HCPCS 87186