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 $165.96 / $165.96 / $1,778.28	Facility	$165.96	$165.96	$1,778.28
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $93.33 / $562.34	Professional	$77.62	$93.33	$562.34
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $77.62 / $151.36	Professional	$77.62	$77.62	$151.36
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $87.10 / $112.20	Professional	$75.86	$87.10	$112.20
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $89.13 / $144.54	Professional	$85.11	$89.13	$144.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Facility	$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $95.50 / $169.82	Professional	$70.79	$95.50	$169.82
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Facility	$173.78	$173.78	$173.78
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $109.65 / $162.18	Professional	$79.43	$109.65	$162.18
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $169.82 / $257.04	Facility	$104.71	$169.82	$257.04
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $87.10 / $131.83	Professional	$72.44	$87.10	$131.83
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $512.86 / $1,513.56	Facility	$416.87	$512.86	$1,513.56
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $104.71 / $114.82	Professional	$97.72	$104.71	$114.82
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $87.10 / $112.20	Professional	$75.86	$87.10	$112.20
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	$165.96	$165.96	$165.96
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $93.33 / $194.98	Professional	$77.62	$93.33	$194.98
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Facility	$107.15	$107.15	$107.15
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $141.25 / $186.21	Professional	$107.15	$141.25	$186.21
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $199.53	Facility	$83.18	$83.18	$199.53
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $83.18 / $309.03	Professional	$12.88	$83.18	$309.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $87.10 / $154.88	Professional	$64.57	$87.10	$154.88

Pennsylvania rates for HCPCS 90945