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 $41.69 / $114.82 / $173.78	Facility	$41.69	$114.82	$173.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $33.11 / $131.83	Professional	$28.18	$33.11	$131.83
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $190.55 / $5,011.87	Facility	$141.25	$190.55	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Professional	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $64.57 / $134.90	Facility	$38.02	$64.57	$134.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $41.69 / $89.13	Professional	$20.89	$41.69	$89.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $35.48 / $52.48	Professional	$27.54	$35.48	$52.48
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $38.90 / $38.90	Facility	$38.90	$38.90	$38.90
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $64.57 / $112.20	Professional	$42.66	$64.57	$112.20
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $97.72	Facility	$64.57	$64.57	$97.72
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $38.90 / $38.90	Professional	$38.90	$38.90	$38.90
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $114.82 / $169.82	Facility	$33.11	$114.82	$169.82
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $32.36 / $102.33	Professional	$28.84	$32.36	$102.33
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $29.51 / $186.21	Facility	$29.51	$29.51	$186.21
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $29.51 / $186.21	Professional	$8.71	$29.51	$186.21
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $38.90 / $46.77	Facility	$23.44	$38.90	$46.77
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $23.44 / $52.48	Professional	$16.60	$23.44	$52.48

Pennsylvania rates for HCPCS 81260