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 $38.90 / $100.00 / $173.78	Facility	$38.90	$100.00	$173.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $30.90 / $123.03	Professional	$25.70	$30.90	$123.03
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $177.83 / $5,011.87	Facility	$131.83	$177.83	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $28.84 / $28.84	Professional	$28.84	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $60.26 / $125.89	Facility	$35.48	$60.26	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $38.90 / $83.18	Professional	$19.05	$38.90	$83.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $32.36 / $48.98	Professional	$25.70	$32.36	$48.98
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Facility	$36.31	$36.31	$36.31
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $60.26 / $104.71	Professional	$39.81	$60.26	$104.71
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Facility	$60.26	$60.26	$60.26
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Professional	$36.31	$36.31	$36.31
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $93.33 / $169.82	Facility	$30.90	$93.33	$169.82
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $30.20 / $83.18	Professional	$26.92	$30.20	$83.18
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $112.20	Facility	$36.31	$36.31	$112.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $36.31 / $112.20	Professional	$8.51	$36.31	$112.20
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $36.31 / $43.65	Facility	$21.88	$36.31	$43.65
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $21.88 / $48.98	Professional	$15.49	$21.88	$48.98

Pennsylvania rates for HCPCS 81242