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 $234.42 / $691.83 / $1,148.15	Facility	$234.42	$691.83	$1,148.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $223.87 / $912.01	Professional	$173.78	$223.87	$912.01
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $1,318.26 / $5,011.87	Facility	$1,000.00	$1,318.26	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $213.80	Professional	$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $446.68 / $933.25	Facility	$269.15	$446.68	$933.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $295.12 / $616.60	Professional	$144.54	$295.12	$616.60
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $245.47 / $371.54	Professional	$190.55	$245.47	$371.54
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Facility	$275.42	$275.42	$275.42
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $354.81 / $602.56	Professional	$204.17	$354.81	$602.56
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $575.44 / $1,621.81	Facility	$19.95	$575.44	$1,621.81
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Professional	$275.42	$275.42	$275.42
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $426.58 / $977.24	Facility	$223.87	$426.58	$977.24
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $223.87 / $426.58	Professional	$173.78	$223.87	$426.58
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $229.09 / $302.00	Facility	$114.82	$229.09	$302.00
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $275.42 / $407.38	Professional	$114.82	$275.42	$407.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $275.42 / $331.13	Facility	$165.96	$275.42	$331.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $165.96 / $363.08	Professional	$114.82	$165.96	$363.08

Pennsylvania rates for HCPCS 81404