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 $95.50 / $269.15 / $512.86	Facility	$95.50	$269.15	$512.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $87.10 / $302.00	Professional	$75.86	$87.10	$302.00
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $489.78 / $5,011.87	Facility	$371.54	$489.78	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional	$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $165.96 / $346.74	Facility	$100.00	$165.96	$346.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $109.65 / $229.09	Professional	$53.70	$109.65	$229.09
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $91.20 / $138.04	Professional	$70.79	$91.20	$138.04
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Facility	$102.33	$102.33	$102.33
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $158.49 / $257.04	Professional	$100.00	$158.49	$257.04
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $177.83 / $549.54	Facility	$144.54	$177.83	$549.54
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional	$102.33	$102.33	$102.33
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $173.78 / $363.08	Facility	$83.18	$173.78	$363.08
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $85.11 / $186.21	Professional	$75.86	$85.11	$186.21
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $389.05 / $389.05 / $588.84	Facility	$389.05	$389.05	$588.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $85.11 / $181.97	Facility	$50.12	$85.11	$181.97
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $95.50 / $181.97	Professional	$50.12	$95.50	$181.97
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $102.33 / $123.03	Facility	$61.66	$102.33	$123.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $61.66 / $138.04	Professional	$42.66	$61.66	$138.04

Pennsylvania rates for HCPCS 81257