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 $89.13 / $95.50 / $181.97	Facility	$89.13	$95.50	$181.97
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $21.88 / $56.23	Professional	$18.20	$21.88	$56.23
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $19.05 / $25.12	Professional	$19.05	$19.05	$25.12
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $25.12 / $38.90	Professional	$23.99	$25.12	$38.90
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Facility	$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $25.12 / $40.74	Professional	$15.85	$25.12	$40.74
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $15.49 / $37.15	Professional	$15.49	$15.49	$37.15
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $20.89 / $21.88	Facility	$20.89	$20.89	$21.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $25.70 / $46.77	Professional	$19.50	$25.70	$46.77
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $21.38 / $72.44	Professional	$17.78	$21.38	$72.44
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $22.91 / $44.67	Professional	$18.20	$22.91	$44.67
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $20.42 / $26.30	Professional	$17.78	$20.42	$26.30
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $20.42 / $26.30	Professional	$16.60	$20.42	$26.30
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $21.38 / $33.11	Professional	$14.45	$21.38	$33.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $22.91 / $40.74	Professional	$17.78	$22.91	$40.74

Pennsylvania rates for HCPCS 96159