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 $37.15 / $158.49 / $676.08	Facility	$37.15	$158.49	$676.08
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $70.79 / $134.90	Professional	$25.70	$70.79	$134.90
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $75.86	Professional	$70.79	$70.79	$75.86
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $181.97 / $281.84	Professional	$141.25	$181.97	$281.84
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $5,011.87 / $77,624.71	Facility	$66.07	$5,011.87	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $83.18 / $141.25	Professional	$70.79	$83.18	$141.25
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $100.00 / $190.55	Facility	$46.77	$100.00	$190.55
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $79.43 / $154.88	Professional	$29.51	$79.43	$154.88
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Facility	$52.48	$52.48	$52.48
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $131.83 / $169.82	Professional	$100.00	$131.83	$169.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $95.50 / $154.88	Professional	$33.11	$95.50	$154.88
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $169.82 / $371.54	Facility	$87.10	$169.82	$371.54
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Professional	$91.20	$91.20	$91.20
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $144.54 / $281.84	Professional	$141.25	$144.54	$281.84
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $467.74 / $851.14	Facility	$70.79	$467.74	$851.14
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $70.79 / $141.25	Professional	$25.70	$70.79	$141.25
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Facility	$97.72	$97.72	$97.72
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $151.36 / $194.98	Professional	$97.72	$151.36	$194.98
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $28.18 / $102.33	Facility	$13.18	$28.18	$102.33
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $29.51 / $87.10	Professional	$13.18	$29.51	$87.10
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $213.80 / $245.47	Facility	$128.82	$213.80	$245.47
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $69.18 / $131.83	Professional	$26.30	$69.18	$131.83

Pennsylvania rates for HCPCS 96405