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 $51.29 / $89.13 / $239.88	Facility	$51.29	$89.13	$239.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $61.66 / $112.20	Professional	$51.29	$61.66	$112.20
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $83.18	Professional	$51.29	$51.29	$83.18
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $70.79 / $1,148.15	Facility	$23.99	$70.79	$1,148.15
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $51.29 / $66.07	Professional	$43.65	$51.29	$66.07
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $51.29 / $117.49	Facility	$43.65	$51.29	$117.49
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Professional	$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $77.62 / $173.78	Facility	$37.15	$77.62	$173.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $42.66 / $81.28	Professional	$26.30	$42.66	$81.28
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $45.71 / $69.18	Professional	$36.31	$45.71	$69.18
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility	$51.29	$51.29	$51.29
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $58.88 / $97.72	Professional	$38.90	$58.88	$97.72
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $114.82 / $251.19	Facility	$61.66	$114.82	$251.19
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $50.12	Professional	$39.81	$39.81	$50.12
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $64.57 / $562.34	Facility	$41.69	$64.57	$562.34
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $51.29 / $346.74	Professional	$43.65	$51.29	$346.74
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Professional	$60.26	$60.26	$60.26
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $57.54 / $223.87	Facility	$51.29	$57.54	$223.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $97.72	Professional	$51.29	$51.29	$97.72
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $1,380.38 / $1,737.80	Facility	$1,047.13	$1,380.38	$1,737.80
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $91.20	Professional	$51.29	$51.29	$91.20
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $17.38 / $51.29	Facility	$9.55	$17.38	$51.29
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $17.38 / $51.29	Professional	$9.55	$17.38	$51.29
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $51.29 / $61.66	Facility	$30.90	$51.29	$61.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $51.29 / $85.11	Professional	$30.90	$51.29	$85.11

Pennsylvania rates for HCPCS 87635