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 $912.01 / $3,162.28 / $8,511.38	Facility	$912.01	$3,162.28	$8,511.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $954.99 / $2,089.30	Professional	$724.44	$954.99	$2,089.30
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $912.01 / $977.24	Professional	$912.01	$912.01	$977.24
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,801.89 / $4,466.84 / $57,543.99	Facility	$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,621.81 / $1,819.70	Professional	$1,000.00	$1,621.81	$1,819.70
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $1,023.29 / $1,659.59	Professional	$707.95	$1,023.29	$1,659.59
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $1,548.82 / $1,698.24	Professional	$1,023.29	$1,548.82	$1,698.24
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $1,174.90 / $1,659.59	Professional	$812.83	$1,174.90	$1,659.59
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,819.70 / $5,011.87 / $8,709.64	Facility	$1,819.70	$5,011.87	$8,709.64
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,000.00 / $1,380.38	Professional	$933.25	$1,000.00	$1,380.38
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $912.01 / $912.01	Professional	$912.01	$912.01	$912.01
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $2,454.71 / $8,317.64	Facility	$758.58	$2,454.71	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $954.99 / $1,905.46	Professional	$741.31	$954.99	$1,905.46
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,737.80 / $3,981.07	Professional	$912.01	$1,737.80	$3,981.07
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $812.83 / $1,000.00	Facility	$416.87	$812.83	$1,000.00
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $812.83 / $977.24	Professional	$380.19	$812.83	$977.24
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $977.24 / $2,951.21 / $6,606.93	Facility	$977.24	$2,951.21	$6,606.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $1,000.00 / $1,737.80	Professional	$691.83	$1,000.00	$1,737.80

Pennsylvania rates for HCPCS 15260