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 $794.33 / $2,570.40 / $4,073.80	Facility	$794.33	$2,570.40	$4,073.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $794.33 / $1,819.70	Professional	$660.69	$794.33	$1,819.70
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,388.44 / $4,466.84 / $6,309.57	Facility	$3,388.44	$4,466.84	$6,309.57
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $724.44 / $724.44	Professional	$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $1,412.54 / $2,754.23	Facility	$676.08	$1,412.54	$2,754.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $1,047.13 / $2,137.96	Professional	$489.78	$1,047.13	$2,137.96
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $831.76 / $1,348.96	Professional	$436.52	$831.76	$1,348.96
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $933.25 / $933.25 / $933.25	Facility	$933.25	$933.25	$933.25
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $1,071.52 / $1,778.28	Professional	$707.95	$1,071.52	$1,778.28
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,621.81 / $1,621.81 / $1,621.81	Facility	$1,621.81	$1,621.81	$1,621.81
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $562.34 / $660.69	Professional	$562.34	$562.34	$660.69
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $1,445.44 / $3,311.31	Facility	$758.58	$1,445.44	$3,311.31
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $776.25 / $1,148.15	Professional	$691.83	$776.25	$1,148.15
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $933.25 / $933.25 / $1,023.29	Facility	$933.25	$933.25	$1,023.29
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $933.25 / $1,023.29	Professional	$831.76	$933.25	$1,023.29
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $933.25 / $1,122.02	Facility	$446.68	$933.25	$1,122.02
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $562.34 / $1,258.93	Professional	$389.05	$562.34	$1,258.93

Pennsylvania rates for HCPCS 81465