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 $10.23 / $32.36 / $104.71	Facility	$10.23	$32.36	$104.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.00 / $20.89	Professional	$7.94	$10.00	$20.89
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $12.02 / $12.02	Professional	$12.02	$12.02	$12.02
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $83.18 / $5,011.87	Facility	$63.10	$83.18	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $9.33 / $11.22	Professional	$9.33	$9.33	$11.22
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.51 / $18.20 / $39.81	Facility	$8.51	$18.20	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.92 / $15.49 / $28.84	Professional	$6.92	$15.49	$28.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $7.08 / $17.38	Professional	$5.62	$7.08	$17.38
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $12.02 / $12.02	Facility	$12.02	$12.02	$12.02
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $13.18 / $20.89	Professional	$11.75	$13.18	$20.89
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $31.62 / $87.10	Facility	$19.50	$31.62	$87.10
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $7.08 / $9.12	Professional	$7.08	$7.08	$9.12
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $17.78 / $34.67	Facility	$9.55	$17.78	$34.67
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.00 / $18.20	Professional	$7.94	$10.00	$18.20
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $17.78 / $17.78	Facility	$12.02	$17.78	$17.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $12.88 / $17.78	Professional	$10.47	$12.88	$17.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.08 / $12.02 / $14.45	Facility	$7.08	$12.02	$14.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $8.91 / $20.89	Professional	$5.37	$8.91	$20.89

Pennsylvania rates for HCPCS 80201