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 $67.61 / $147.91 / $251.19	Facility	$67.61	$147.91	$251.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $52.48 / $154.88	Professional	$41.69	$52.48	$154.88
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $69.18 / $1,819.70	Facility	$30.90	$69.18	$1,819.70
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $275.42 / $5,011.87	Facility	$208.93	$275.42	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Professional	$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $93.33 / $194.98	Facility	$54.95	$93.33	$194.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $60.26 / $128.82	Professional	$30.20	$60.26	$128.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $51.29 / $77.62	Professional	$39.81	$51.29	$77.62
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $57.54	Facility	$57.54	$57.54	$57.54
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $87.10 / $125.89	Professional	$54.95	$87.10	$125.89
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $134.90 / $512.86	Facility	$89.13	$134.90	$512.86
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $60.26 / $134.90	Facility	$30.90	$60.26	$134.90
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $57.54	Professional	$57.54	$57.54	$57.54
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $144.54 / $194.98	Facility	$47.86	$144.54	$194.98
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $47.86 / $87.10	Professional	$41.69	$47.86	$87.10
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $70.79 / $117.49	Facility	$22.39	$70.79	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $57.54 / $70.79	Professional	$11.75	$57.54	$70.79
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $57.54 / $69.18	Facility	$33.88	$57.54	$69.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $33.88 / $75.86	Professional	$23.99	$33.88	$75.86

Pennsylvania rates for HCPCS 81243