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 $141.25 / $295.12 / $645.65	Facility	$141.25	$295.12	$645.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $416.87	Professional	$141.25	$141.25	$416.87
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 $22.39 / $60.26 / $524.81	Facility	$22.39	$60.26	$524.81
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $181.97	Professional	$141.25	$141.25	$181.97
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $141.25 / $141.25	Facility	$117.49	$141.25	$141.25
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 $102.33 / $194.98 / $489.78	Facility	$102.33	$194.98	$489.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $120.23 / $223.87	Professional	$74.13	$120.23	$223.87
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 $107.15 / $162.18 / $269.15	Professional	$107.15	$162.18	$269.15
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $363.08 / $660.69	Facility	$281.84	$363.08	$660.69
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $64.57 / $524.81	Facility	$39.81	$64.57	$524.81
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $251.19	Professional	$141.25	$141.25	$251.19
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 $100.00 / $275.42 / $630.96	Facility	$100.00	$275.42	$630.96
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $269.15	Professional	$141.25	$141.25	$269.15
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $2,187.76 / $2,691.53	Facility	$1,000.00	$2,187.76	$2,691.53
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Professional	$141.25	$141.25	$141.25
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $45.71 / $190.55	Facility	$41.69	$45.71	$190.55
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $107.15 / $190.55	Professional	$41.69	$107.15	$190.55
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $141.25 / $169.82	Facility	$85.11	$141.25	$169.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $87.10 / $199.53	Professional	$60.26	$87.10	$199.53

Pennsylvania rates for HCPCS 87636