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 $11.22 / $35.48 / $67.61	Facility	$11.22	$35.48	$67.61
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $9.12 / $28.84	Professional	$5.01	$9.12	$28.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.17 / $8.71 / $14.13	Professional	$4.17	$8.71	$14.13
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $676.08 / $1,174.90	Facility	$12.88	$676.08	$1,174.90
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.79 / $5.62 / $5.89	Professional	$4.79	$5.62	$5.89
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $44.67 / $5,011.87	Facility	$33.11	$44.67	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.76 / $6.76 / $19.95	Professional	$6.76	$6.76	$19.95
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.75 / $12.59 / $28.84	Facility	$5.75	$12.59	$28.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.07 / $8.32 / $12.88	Professional	$4.07	$8.32	$12.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.04 / $5.13 / $12.59	Professional	$2.04	$5.13	$12.59
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.71 / $8.71 / $8.71	Facility	$8.71	$8.71	$8.71
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.61 / $8.32 / $14.79	Professional	$6.61	$8.32	$14.79
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $28.18 / $58.88	Facility	$12.30	$28.18	$58.88
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $6.61 / $12.88	Professional	$5.75	$6.61	$12.88
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $676.08 / $1,698.24	Facility	$12.88	$676.08	$1,698.24
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $5.62 / $5.62	Professional	$5.62	$5.62	$5.62
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.03 / $15.85 / $47.86	Facility	$6.03	$15.85	$47.86
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.27 / $7.08 / $14.45	Professional	$4.27	$7.08	$14.45
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $1,737.80 / $2,187.76	Facility	$1,047.13	$1,737.80	$2,187.76
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.37 / $9.55 / $11.22	Facility	$5.37	$9.55	$11.22
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.72 / $8.91 / $11.22	Professional	$3.72	$8.91	$11.22
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.27 / $8.71 / $10.23	Facility	$4.27	$8.71	$10.23
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.89 / $8.32 / $12.88	Professional	$3.89	$8.32	$12.88

Pennsylvania rates for HCPCS 81025