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 $16.22 / $51.29 / $89.13	Facility	$16.22	$51.29	$89.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $15.85 / $36.31	Professional	$12.88	$15.85	$36.31
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $12.30 / $12.30	Professional	$12.30	$12.30	$12.30
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $120.23 / $5,011.87	Facility	$91.20	$120.23	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $15.85 / $17.38	Professional	$15.85	$15.85	$17.38
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $30.90 / $58.88	Facility	$14.45	$30.90	$58.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $24.55 / $43.65	Professional	$10.72	$24.55	$43.65
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $12.02 / $29.51	Professional	$9.55	$12.02	$29.51
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $19.95 / $19.95	Facility	$19.95	$19.95	$19.95
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $20.89 / $34.67	Professional	$19.05	$20.89	$34.67
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $42.66 / $89.13	Facility	$24.55	$42.66	$89.13
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $12.02 / $18.20	Professional	$12.02	$12.02	$18.20
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $34.67 / $72.44	Facility	$16.22	$34.67	$72.44
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $15.85 / $23.99	Professional	$12.88	$15.85	$23.99
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $27.54 / $27.54	Facility	$19.95	$27.54	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $23.44 / $27.54	Professional	$13.18	$23.44	$27.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.72 / $19.95 / $23.99	Facility	$10.72	$19.95	$23.99
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $12.88 / $30.20	Professional	$8.51	$12.88	$30.20

Pennsylvania rates for HCPCS 80159