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 $10.96 / $38.02 / $190.55	Facility	$10.96	$38.02	$190.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $7.08 / $56.23	Professional	$6.03	$7.08	$56.23
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.37 / $4.37 / $13.80	Professional	$4.37	$4.37	$13.80
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $38.02 / $1,318.26	Facility	$12.02	$38.02	$1,318.26
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $61.66 / $5,011.87	Facility	$45.71	$61.66	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.76 / $6.76 / $28.18	Professional	$6.76	$6.76	$28.18
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.31 / $13.49 / $30.20	Facility	$6.31	$13.49	$30.20
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.13 / $10.72 / $18.62	Professional	$5.13	$10.72	$18.62
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.07 / $8.71 / $12.59	Professional	$4.07	$8.71	$12.59
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.71 / $8.71 / $8.71	Facility	$8.71	$8.71	$8.71
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $9.77 / $15.14	Professional	$8.51	$9.77	$15.14
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $24.55 / $77.62	Facility	$12.59	$24.55	$77.62
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $5.75 / $7.24	Professional	$5.25	$5.75	$7.24
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $32.36 / $74.13	Facility	$10.00	$32.36	$74.13
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.03 / $14.45 / $50.12	Facility	$6.03	$14.45	$50.12
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $7.08 / $13.80	Professional	$6.03	$7.08	$13.80
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $177.83 / $251.19	Facility	$173.78	$177.83	$251.19
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $13.18 / $13.18	Facility	$13.18	$13.18	$13.18
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $13.18 / $18.20	Professional	$12.30	$13.18	$18.20
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.13 / $8.71 / $10.47	Facility	$5.13	$8.71	$10.47
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.63 / $5.75 / $15.14	Professional	$3.63	$5.75	$15.14

Pennsylvania rates for HCPCS 80069