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 $173.78 / $501.19 / $870.96	Facility	$173.78	$501.19	$870.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $158.49 / $1,047.13	Professional	$138.04	$158.49	$1,047.13
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $891.25 / $5,011.87	Facility	$676.08	$891.25	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional	$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $302.00 / $630.96	Facility	$181.97	$302.00	$630.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $199.53 / $416.87	Professional	$97.72	$199.53	$416.87
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $165.96 / $251.19	Professional	$128.82	$165.96	$251.19
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility	$186.21	$186.21	$186.21
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $309.03 / $549.54	Professional	$199.53	$309.03	$549.54
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $537.03 / $2,137.96	Facility	$151.36	$537.03	$2,137.96
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $151.36 / $1,047.13	Professional	$138.04	$151.36	$1,047.13
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $1,905.46 / $1,905.46	Facility	$186.21	$1,905.46	$1,905.46
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $1,905.46	Professional	$186.21	$186.21	$1,905.46
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $186.21 / $223.87	Facility	$112.20	$186.21	$223.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $112.20 / $257.04	Professional	$77.62	$112.20	$257.04

Pennsylvania rates for HCPCS 81216