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 $3.16 / $9.77 / $52.48	Facility	$3.16	$9.77	$52.48
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $2.24 / $14.45	Professional	$1.00	$2.24	$14.45
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.29 / $2.75 / $3.72	Professional	$1.29	$2.75	$3.72
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.39 / $9.77 / $208.93	Facility	$3.39	$9.77	$208.93
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.45 / $1.45 / $1.45	Professional	$1.45	$1.45	$1.45
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $15.85 / $5,011.87	Facility	$11.75	$15.85	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.78 / $1.78 / $7.76	Professional	$1.78	$1.78	$7.76
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.62 / $3.47 / $7.76	Facility	$1.62	$3.47	$7.76
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.38 / $2.69 / $4.27	Professional	$1.38	$2.69	$4.27
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.07 / $2.04 / $3.24	Professional	$1.07	$2.04	$3.24
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.24 / $2.24 / $2.24	Facility	$2.24	$2.24	$2.24
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.19 / $2.51 / $3.89	Professional	$2.19	$2.51	$3.89
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.31 / $6.31 / $20.89	Facility	$3.31	$6.31	$20.89
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.48 / $2.19 / $4.57	Professional	$1.48	$2.19	$4.57
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.57 / $9.55 / $20.89	Facility	$2.57	$9.55	$20.89
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.45 / $1.45 / $1.45	Professional	$1.45	$1.45	$1.45
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.58 / $3.09 / $7.08	Facility	$1.58	$3.09	$7.08
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $2.00 / $3.98	Professional	$1.00	$2.00	$3.98
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.27 / $4.27 / $4.27	Facility	$4.27	$4.27	$4.27
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.16 / $4.27 / $4.27	Professional	$3.16	$4.27	$4.27
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.32 / $2.24 / $2.69	Facility	$1.32	$2.24	$2.69
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.26 / $2.24 / $3.89	Professional	$1.26	$2.24	$3.89

Pennsylvania rates for HCPCS 81003