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 $32.36 / $89.13 / $147.91	Facility	$32.36	$89.13	$147.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $28.18 / $102.33	Professional	$25.70	$28.18	$102.33
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $169.82 / $5,011.87	Facility	$125.89	$169.82	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	$27.54	$27.54	$27.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $57.54 / $120.23	Facility	$33.88	$57.54	$120.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $37.15 / $79.43	Professional	$18.20	$37.15	$79.43
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $30.90 / $46.77	Professional	$24.55	$30.90	$46.77
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $34.67	Facility	$34.67	$34.67	$34.67
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $57.54 / $100.00	Professional	$38.02	$57.54	$100.00
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $58.88 / $120.23	Facility	$28.18	$58.88	$120.23
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $28.18 / $41.69	Professional	$25.70	$28.18	$41.69
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.93 / $25.70 / $53.70	Facility	$0.93	$25.70	$53.70
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.93 / $34.67 / $53.70	Professional	$0.93	$34.67	$53.70
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $34.67 / $41.69	Facility	$20.89	$34.67	$41.69
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $20.89 / $46.77	Professional	$14.79	$20.89	$46.77

Pennsylvania rates for HCPCS 81254