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 $467.74 / $1,288.25 / $2,454.71	Facility	$467.74	$1,288.25	$2,454.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $501.19 / $1,995.26	Professional	$416.87	$501.19	$1,995.26
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $562.34 / $562.34	Professional	$562.34	$562.34	$562.34
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $676.08 / $7,762.47	Facility	$295.12	$676.08	$7,762.47
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $2,691.53 / $5,011.87	Facility	$1,995.26	$2,691.53	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $436.52 / $436.52	Professional	$436.52	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $912.01 / $1,905.46	Facility	$537.03	$912.01	$1,905.46
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $588.84 / $1,258.93	Professional	$295.12	$588.84	$1,258.93
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $501.19 / $758.58	Professional	$389.05	$501.19	$758.58
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $562.34 / $562.34 / $562.34	Facility	$562.34	$562.34	$562.34
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $933.25 / $1,584.89	Professional	$602.56	$933.25	$1,584.89
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $1,122.02 / $2,344.23	Facility	$724.44	$1,122.02	$2,344.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $630.96 / $630.96	Professional	$630.96	$630.96	$630.96
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $630.96 / $1,230.27	Facility	$302.00	$630.96	$1,230.27
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $562.34 / $562.34	Professional	$562.34	$562.34	$562.34
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $851.14 / $1,905.46	Facility	$446.68	$851.14	$1,905.46
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $467.74 / $1,023.29	Professional	$407.38	$467.74	$1,023.29
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $1,071.52 / $1,513.56	Facility	$1,047.13	$1,071.52	$1,513.56
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $1,096.48	Facility	$165.96	$165.96	$1,096.48
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $1,096.48	Professional	$165.96	$165.96	$1,096.48
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $331.13 / $562.34 / $660.69	Facility	$331.13	$562.34	$660.69
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $331.13 / $741.31	Professional	$234.42	$331.13	$741.31

Pennsylvania rates for HCPCS 81220