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 $29.51 / $95.50 / $169.82	Facility	$29.51	$95.50	$169.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $28.18 / $102.33	Professional	$23.99	$28.18	$102.33
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $154.88 / $1,621.81	Facility	$56.23	$154.88	$1,621.81
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $245.47 / $5,011.87	Facility	$186.21	$245.47	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	$27.54	$27.54	$27.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $56.23 / $120.23	Facility	$32.36	$56.23	$120.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $33.88 / $75.86	Professional	$20.89	$33.88	$75.86
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $31.62 / $47.86	Professional	$24.55	$31.62	$47.86
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Facility	$35.48	$35.48	$35.48
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $52.48 / $89.13	Professional	$37.15	$52.48	$89.13
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $95.50 / $281.84	Facility	$52.48	$95.50	$281.84
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $128.82 / $302.00	Facility	$52.48	$128.82	$302.00
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional	$35.48	$35.48	$35.48
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $52.48 / $125.89	Facility	$28.18	$52.48	$125.89
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $28.18 / $53.70	Professional	$23.99	$28.18	$53.70
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $1,949.84 / $2,951.21	Facility	$1,949.84	$1,949.84	$2,951.21
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $44.67 / $47.86	Facility	$35.48	$44.67	$47.86
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $44.67 / $50.12	Professional	$25.70	$44.67	$50.12
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $35.48 / $41.69	Facility	$29.51	$35.48	$41.69
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $20.89 / $64.57	Professional	$14.79	$20.89	$64.57

Pennsylvania rates for HCPCS 87535