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 $66.07 / $151.36 / $302.00	Facility	$66.07	$151.36	$302.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $74.13 / $213.80	Professional	$60.26	$74.13	$213.80
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional	$35.48	$35.48	$35.48
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility	$199.53	$199.53	$199.53
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $74.13 / $125.89	Professional	$63.10	$74.13	$125.89
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $74.13 / $117.49	Facility	$63.10	$74.13	$117.49
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $54.95	Professional	$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $69.18 / $144.54	Facility	$50.12	$69.18	$144.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $37.15 / $338.84	Professional	$32.36	$37.15	$338.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $63.10 / $95.50	Professional	$48.98	$63.10	$95.50
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Facility	$70.79	$70.79	$70.79
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $70.79 / $123.03	Professional	$23.44	$70.79	$123.03
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $141.25 / $204.17	Facility	$109.65	$141.25	$204.17
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $70.79 / $407.38	Facility	$44.67	$70.79	$407.38
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $74.13 / $125.89	Professional	$63.10	$74.13	$125.89
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional	$83.18	$83.18	$83.18
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $91.20 / $281.84	Facility	$66.07	$91.20	$281.84
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $74.13 / $134.90	Professional	$72.44	$74.13	$134.90
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $281.84 / $389.05	Facility	$269.15	$281.84	$389.05
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Professional	$74.13	$74.13	$74.13
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $19.50 / $30.90	Facility	$8.91	$19.50	$30.90
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $19.50 / $30.90	Professional	$8.71	$19.50	$30.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $70.79 / $85.11	Facility	$44.67	$70.79	$85.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $43.65 / $97.72	Professional	$30.90	$43.65	$97.72

Pennsylvania rates for HCPCS 87428