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 $14.45 / $54.95 / $173.78	Facility	$14.45	$54.95	$173.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.30 / $85.11	Professional	$10.00	$12.30	$85.11
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.92 / $8.51 / $13.80	Professional	$6.92	$8.51	$13.80
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $54.95 / $331.13	Facility	$19.05	$54.95	$331.13
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 $10.72 / $10.72 / $12.88	Professional	$10.72	$10.72	$12.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.77 / $20.89 / $46.77	Facility	$9.77	$20.89	$46.77
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $17.78 / $33.11	Professional	$7.94	$17.78	$33.11
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $10.72 / $19.95	Professional	$6.46	$10.72	$19.95
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $13.80 / $13.80	Facility	$13.80	$13.80	$13.80
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $15.14 / $23.99	Professional	$13.49	$15.14	$23.99
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.62 / $36.31 / $104.71	Facility	$18.62	$36.31	$104.71
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $8.32 / $11.22	Professional	$8.32	$8.32	$11.22
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $52.48 / $331.13	Facility	$15.85	$52.48	$331.13
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $19.50 / $48.98	Facility	$9.55	$19.50	$48.98
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $10.96 / $22.91	Professional	$10.00	$10.96	$22.91
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $125.89 / $223.87	Facility	$120.23	$125.89	$223.87
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.23 / $14.45 / $25.12	Facility	$10.23	$14.45	$25.12
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $17.38 / $25.12	Professional	$10.23	$17.38	$25.12
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.13 / $13.80 / $16.60	Facility	$8.13	$13.80	$16.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.17 / $10.23 / $26.30	Professional	$6.17	$10.23	$26.30

Pennsylvania rates for HCPCS 80197