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 $54.95 / $141.25 / $223.87	Facility	$54.95	$141.25	$223.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $42.66 / $218.78	Professional	$37.15	$42.66	$218.78
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $245.47 / $5,011.87	Facility	$186.21	$245.47	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Professional	$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $85.11 / $173.78	Facility	$50.12	$85.11	$173.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $54.95 / $117.49	Professional	$26.92	$54.95	$117.49
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $45.71 / $69.18	Professional	$36.31	$45.71	$69.18
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility	$51.29	$51.29	$51.29
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $85.11 / $147.91	Professional	$54.95	$85.11	$147.91
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Facility	$85.11	$85.11	$85.11
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Professional	$51.29	$51.29	$51.29
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $151.36 / $177.83	Facility	$42.66	$151.36	$177.83
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $41.69 / $169.82	Professional	$38.02	$41.69	$169.82
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $114.82 / $288.40	Facility	$51.29	$114.82	$288.40
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $51.29 / $147.91	Professional	$28.18	$51.29	$147.91
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $51.29 / $61.66	Facility	$30.90	$51.29	$61.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $30.90 / $72.44	Professional	$21.38	$30.90	$72.44

Pennsylvania rates for HCPCS 81255