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 $186.21 / $436.52 / $758.58	Facility	$186.21	$436.52	$758.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $141.25 / $616.60	Professional	$104.71	$141.25	$616.60
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $223.87 / $8,709.64	Facility	$83.18	$223.87	$8,709.64
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $630.96 / $851.14 / $5,011.87	Facility	$630.96	$851.14	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Professional	$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $288.40 / $602.56	Facility	$169.82	$288.40	$602.56
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $151.36 / $263.03	Professional	$81.28	$151.36	$263.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $154.88 / $234.42	Professional	$123.03	$154.88	$234.42
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Facility	$173.78	$173.78	$173.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $208.93 / $331.13	Professional	$131.83	$208.93	$331.13
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $354.81 / $426.58	Facility	$229.09	$354.81	$426.58
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $190.55 / $436.52	Facility	$83.18	$190.55	$436.52
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $269.15 / $602.56	Facility	$147.91	$269.15	$602.56
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $141.25 / $269.15	Professional	$104.71	$141.25	$269.15
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $97.72 / $173.78 / $309.03	Facility	$97.72	$173.78	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $173.78 / $309.03	Professional	$97.72	$173.78	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $173.78 / $208.93	Facility	$104.71	$173.78	$208.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $104.71 / $234.42	Professional	$74.13	$104.71	$234.42

Pennsylvania rates for HCPCS 81305