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 $4.57 / $18.20 / $75.86	Facility	$4.57	$18.20	$75.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $3.02 / $12.59	Professional	$2.00	$3.02	$12.59
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.58 / $1.91 / $5.25	Professional	$1.58	$1.91	$5.25
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.37 / $12.59 / $288.40	Facility	$4.37	$12.59	$288.40
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.04 / $2.04 / $2.04	Professional	$2.04	$2.04	$2.04
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 $2.45 / $2.45 / $10.96	Professional	$2.45	$2.45	$10.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.29 / $5.01 / $11.22	Facility	$2.29	$5.01	$11.22
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.86 / $3.72 / $5.62	Professional	$1.86	$3.72	$5.62
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.48 / $3.16 / $4.57	Professional	$1.48	$3.16	$4.57
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.16 / $3.16 / $3.16	Facility	$3.16	$3.16	$3.16
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.09 / $3.47 / $5.50	Professional	$3.09	$3.47	$5.50
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.68 / $8.91 / $28.18	Facility	$4.68	$8.91	$28.18
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.91 / $2.09 / $3.09	Professional	$1.91	$2.09	$3.09
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.63 / $12.02 / $26.92	Facility	$3.63	$12.02	$26.92
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.04 / $2.04 / $2.14	Professional	$2.04	$2.04	$2.14
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.57 / $7.08 / $41.69	Facility	$2.57	$7.08	$41.69
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $3.02 / $5.37	Professional	$2.00	$3.02	$5.37
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.45 / $3.16 / $4.90	Facility	$2.45	$3.16	$4.90
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.45 / $4.17 / $66.07	Professional	$2.45	$4.17	$66.07
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.74 / $3.16 / $3.80	Facility	$1.74	$3.16	$3.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.91 / $3.16 / $5.50	Professional	$1.91	$3.16	$5.50

Pennsylvania rates for HCPCS 81001