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 $28.84 / $91.20 / $218.78	Facility	$28.84	$91.20	$218.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $30.20 / $46.77	Professional	$25.12	$30.20	$46.77
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $20.42 / $20.42	Professional	$20.42	$20.42	$20.42
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $147.91 / $398.11	Facility	$46.77	$147.91	$398.11
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $239.88 / $5,011.87	Facility	$177.83	$239.88	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $26.30 / $32.36	Professional	$26.30	$26.30	$32.36
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $51.29 / $114.82	Facility	$24.55	$51.29	$114.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $43.65 / $81.28	Professional	$19.95	$43.65	$81.28
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.76 / $19.95 / $48.98	Professional	$6.76	$19.95	$48.98
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Facility	$33.88	$33.88	$33.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $38.02 / $58.88	Professional	$33.88	$38.02	$58.88
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $81.28 / $218.78	Facility	$47.86	$81.28	$218.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $22.91 / $26.30	Professional	$20.42	$22.91	$26.30
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $125.89 / $208.93	Facility	$38.90	$125.89	$208.93
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $57.54 / $97.72	Facility	$23.44	$57.54	$97.72
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $28.18 / $40.74	Professional	$24.55	$28.18	$40.74
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $26.92 / $177.83	Facility	$12.59	$26.92	$177.83
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $26.92 / $154.88	Professional	$12.59	$26.92	$154.88
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $33.88 / $40.74	Facility	$19.95	$33.88	$40.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $22.39 / $58.88	Professional	$15.14	$22.39	$58.88

Pennsylvania rates for HCPCS 87255