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 $3.98 / $10.96 / $41.69	Facility	$3.98	$10.96	$41.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $4.68 / $12.02	Professional	$3.02	$4.68	$12.02
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $2.63 / $5.62	Professional	$2.00	$2.63	$5.62
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.01 / $15.85 / $354.81	Facility	$5.01	$15.85	$354.81
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.63 / $2.63 / $2.69	Professional	$2.63	$2.63	$2.69
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $22.39 / $5,011.87	Facility	$16.60	$22.39	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.16 / $3.16 / $10.96	Professional	$3.16	$3.16	$10.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.88 / $5.89 / $13.49	Facility	$2.88	$5.89	$13.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.86 / $3.98 / $6.17	Professional	$1.86	$3.98	$6.17
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.91 / $3.55 / $5.75	Professional	$1.91	$3.55	$5.75
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.98 / $3.98 / $3.98	Facility	$3.98	$3.98	$3.98
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.31 / $3.98 / $6.92	Professional	$3.31	$3.98	$6.92
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.08 / $15.49 / $28.18	Facility	$7.08	$15.49	$28.18
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.40 / $2.40 / $3.31	Professional	$2.40	$2.40	$3.31
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.62 / $13.80 / $173.78	Facility	$5.62	$13.80	$173.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.63 / $2.63 / $2.63	Professional	$2.63	$2.63	$2.63
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.24 / $8.32 / $13.80	Facility	$3.24	$8.32	$13.80
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $3.02 / $6.76	Professional	$2.00	$3.02	$6.76
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $2,137.96 / $2,137.96	Facility	$2,137.96	$2,137.96	$2,137.96
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.45 / $1.45 / $3.98	Facility	$1.45	$1.45	$3.98
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.45 / $3.98 / $6.61	Professional	$1.45	$3.98	$6.61
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.00 / $3.98 / $4.79	Facility	$2.00	$3.98	$4.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.29 / $3.39 / $5.62	Professional	$2.29	$3.39	$5.62

Pennsylvania rates for HCPCS 81000