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 $14.13 / $36.31 / $58.88	Facility	$14.13	$36.31	$58.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $10.96 / $25.12	Professional	$8.91	$10.96	$25.12
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $8.13 / $8.13	Professional	$8.13	$8.13	$8.13
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $93.33 / $5,011.87	Facility	$70.79	$93.33	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $10.23 / $12.88	Professional	$10.23	$10.23	$12.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $19.95 / $44.67	Facility	$9.55	$19.95	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $16.98 / $32.36	Professional	$7.76	$16.98	$32.36
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.17 / $10.72 / $19.05	Professional	$6.17	$10.72	$19.05
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $13.18 / $13.18	Facility	$13.18	$13.18	$13.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $14.79 / $22.91	Professional	$12.88	$14.79	$22.91
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.61 / $43.65 / $81.28	Facility	$6.61	$43.65	$81.28
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.00 / $12.59	Professional	$7.94	$10.00	$12.59
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $34.67 / $46.77	Facility	$10.96	$34.67	$46.77
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $10.00 / $15.85	Professional	$8.91	$10.00	$15.85
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $17.38 / $20.42	Facility	$9.33	$17.38	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $16.98 / $19.95	Professional	$9.33	$16.98	$19.95
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.76 / $13.18 / $15.85	Facility	$7.76	$13.18	$15.85
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $9.77 / $22.91	Professional	$6.03	$9.77	$22.91

Pennsylvania rates for HCPCS 80157