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 $134.90 / $363.08 / $758.58	Facility	$134.90	$363.08	$758.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $134.90 / $724.44	Professional	$95.50	$134.90	$724.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Professional	$141.25	$141.25	$141.25
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $234.42 / $5,128.61	Facility	$87.10	$234.42	$5,128.61
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $162.18	Professional	$93.33	$93.33	$162.18
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $645.65 / $851.14 / $5,011.87	Facility	$645.65	$851.14	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Professional	$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $234.42 / $489.78	Facility	$138.04	$234.42	$489.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $131.83 / $263.03	Professional	$75.86	$131.83	$263.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $125.89 / $190.55	Professional	$100.00	$125.89	$190.55
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Facility	$141.25	$141.25	$141.25
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $204.17 / $331.13	Professional	$131.83	$204.17	$331.13
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $363.08 / $691.83	Facility	$234.42	$363.08	$691.83
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $199.53 / $2,454.71	Facility	$141.25	$199.53	$2,454.71
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $162.18	Professional	$93.33	$93.33	$162.18
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Professional	$169.82	$169.82	$169.82
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $338.84 / $794.33	Facility	$120.23	$338.84	$794.33
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $138.04 / $263.03	Professional	$95.50	$138.04	$263.03
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $107.15 / $363.08	Facility	$102.33	$107.15	$363.08
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $107.15 / $416.87	Professional	$102.33	$107.15	$416.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $141.25 / $169.82	Facility	$104.71	$141.25	$169.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $85.11 / $213.80	Professional	$60.26	$85.11	$213.80

Pennsylvania rates for HCPCS 87631