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 $17.38 / $51.29 / $104.71	Facility	$17.38	$51.29	$104.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $12.02 / $87.10	Professional	$8.91	$12.02	$87.10
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.69 / $2.69 / $8.32	Professional	$2.69	$2.69	$8.32
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $60.26 / $1,479.11	Facility	$19.05	$60.26	$1,479.11
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $95.50 / $5,011.87	Facility	$72.44	$95.50	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $10.47 / $43.65	Professional	$10.47	$10.47	$43.65
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.77 / $20.42 / $45.71	Facility	$9.77	$20.42	$45.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $17.38 / $32.36	Professional	$7.94	$17.38	$32.36
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $10.72 / $19.50	Professional	$6.31	$10.72	$19.50
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $13.49 / $13.49	Facility	$13.49	$13.49	$13.49
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $15.14 / $23.44	Professional	$13.18	$15.14	$23.44
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $34.67 / $83.18	Facility	$19.95	$34.67	$83.18
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $8.91 / $10.47	Professional	$8.13	$8.91	$10.47
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $51.29 / $117.49	Facility	$15.49	$51.29	$117.49
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $22.91 / $47.86	Facility	$10.96	$22.91	$47.86
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.96 / $20.89	Professional	$7.94	$10.96	$20.89
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.23 / $13.49 / $27.54	Facility	$10.23	$13.49	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $14.79 / $27.54	Professional	$10.23	$14.79	$27.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.94 / $13.49 / $16.22	Facility	$7.94	$13.49	$16.22
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $9.33 / $23.44	Professional	$6.03	$9.33	$23.44

Pennsylvania rates for HCPCS 80164