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 $741.31 / $1,513.56 / $3,235.94	Facility	$741.31	$1,513.56	$3,235.94
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $575.44 / $794.33	Professional	$501.19	$575.44	$794.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $467.74 / $467.74	Professional	$467.74	$467.74	$467.74
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $1,380.38 / $6,309.57	Facility	$602.56	$1,380.38	$6,309.57
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $489.78 / $489.78	Professional	$489.78	$489.78	$489.78
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,884.03 / $3,890.45 / $5,495.41	Facility	$2,884.03	$3,890.45	$5,495.41
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $588.84 / $588.84	Professional	$588.84	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $1,148.15 / $2,238.72	Facility	$549.54	$1,148.15	$2,238.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $851.14 / $1,698.24	Professional	$398.11	$851.14	$1,698.24
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $676.08 / $1,096.48	Professional	$354.81	$676.08	$1,096.48
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $758.58 / $758.58	Facility	$758.58	$758.58	$758.58
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $851.14 / $1,348.96	Professional	$602.56	$851.14	$1,348.96
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $1,288.25 / $2,511.89	Facility	$489.78	$1,288.25	$2,511.89
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $562.34 / $831.76	Professional	$457.09	$562.34	$831.76
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $1,148.15 / $2,691.53	Facility	$602.56	$1,148.15	$2,691.53
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $489.78 / $758.58	Professional	$489.78	$489.78	$758.58
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $1,174.90 / $2,691.53	Facility	$616.60	$1,174.90	$2,691.53
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $602.56 / $912.01	Professional	$501.19	$602.56	$912.01
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,348.96 / $1,380.38 / $1,949.84	Facility	$1,348.96	$1,380.38	$1,949.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $660.69 / $891.25	Facility	$446.68	$660.69	$891.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $660.69 / $891.25	Professional	$446.68	$660.69	$891.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $380.19 / $758.58 / $912.01	Facility	$380.19	$758.58	$912.01
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $457.09 / $1,071.52	Professional	$316.23	$457.09	$1,071.52

Pennsylvania rates for HCPCS 81420