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 $41.69 / $131.83 / $524.81	Facility	$41.69	$131.83	$524.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $39.81 / $66.07	Professional	$19.95	$39.81	$66.07
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $22.91 / $30.90	Professional	$17.38	$22.91	$30.90
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $32.36	Facility	$32.36	$32.36	$32.36
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $27.54 / $31.62	Professional	$23.44	$27.54	$31.62
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $38.02 / $60.26	Professional	$29.51	$38.02	$60.26
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $41.69 / $54.95	Facility	$30.20	$41.69	$54.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $33.11 / $60.26	Professional	$19.95	$33.11	$60.26
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $22.91 / $60.26	Facility	$22.91	$22.91	$60.26
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $33.11 / $47.86	Professional	$22.91	$33.11	$47.86
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $104.71 / $109.65	Facility	$104.71	$104.71	$109.65
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $32.36 / $64.57	Professional	$23.44	$32.36	$64.57
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $30.20 / $57.54	Facility	$28.18	$30.20	$57.54
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $24.55 / $37.15	Professional	$21.88	$24.55	$37.15
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $104.71	Facility	$32.36	$32.36	$104.71
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $27.54 / $34.67	Professional	$23.44	$27.54	$34.67
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $46.77 / $104.71	Facility	$38.90	$46.77	$104.71
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $40.74 / $63.10	Professional	$20.89	$40.74	$63.10
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $39.81 / $48.98	Professional	$28.18	$39.81	$48.98
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $380.19 / $602.56	Facility	$165.96	$380.19	$602.56
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $39.81 / $52.48	Professional	$34.67	$39.81	$52.48
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $29.51 / $57.54	Professional	$16.60	$29.51	$57.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $38.90 / $52.48	Professional	$23.44	$38.90	$52.48

Pennsylvania rates for HCPCS 90853