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 $56.23 / $165.96 / $346.74	Facility	$56.23	$165.96	$346.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $52.48 / $309.03	Professional	$43.65	$52.48	$309.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Professional	$66.07	$66.07	$66.07
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $114.82 / $4,570.88	Facility	$50.12	$114.82	$4,570.88
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $323.59 / $5,011.87	Facility	$245.47	$323.59	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Professional	$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $107.15 / $223.87	Facility	$64.57	$107.15	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $63.10 / $147.91	Professional	$30.90	$63.10	$147.91
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $58.88 / $89.13	Professional	$45.71	$58.88	$89.13
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Facility	$66.07	$66.07	$66.07
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $102.33 / $165.96	Professional	$64.57	$102.33	$165.96
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $151.36 / $295.12	Facility	$89.13	$151.36	$295.12
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $102.33 / $223.87	Facility	$51.29	$102.33	$223.87
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Professional	$66.07	$66.07	$66.07
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $102.33 / $223.87	Facility	$53.70	$102.33	$223.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $52.48 / $120.23	Professional	$43.65	$52.48	$120.23
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $645.65 / $676.08 / $933.25	Facility	$645.65	$676.08	$933.25
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.62 / $66.07 / $74.13	Facility	$18.62	$66.07	$74.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $66.07 / $158.49	Professional	$18.62	$66.07	$158.49
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $66.07 / $79.43	Facility	$40.74	$66.07	$79.43
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $39.81 / $91.20	Professional	$27.54	$39.81	$91.20

Pennsylvania rates for HCPCS 81240