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 $123.03 / $363.08 / $645.65	Facility	$123.03	$363.08	$645.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $128.82 / $204.17	Professional	$107.15	$128.82	$204.17
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $562.34 / $741.31 / $5,011.87	Facility	$562.34	$741.31	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $251.19	Professional	$120.23	$120.23	$251.19
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $234.42 / $446.68	Facility	$109.65	$234.42	$446.68
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $186.21 / $229.09	Professional	$104.71	$186.21	$229.09
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $72.44 / $223.87	Professional	$43.65	$72.44	$223.87
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Facility	$154.88	$154.88	$154.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $154.88 / $269.15	Professional	$131.83	$154.88	$269.15
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $302.00 / $354.81	Facility	$199.53	$302.00	$354.81
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $91.20 / $114.82	Professional	$81.28	$91.20	$114.82
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $281.84 / $446.68	Facility	$107.15	$281.84	$446.68
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $128.82 / $177.83	Professional	$107.15	$128.82	$177.83
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $154.88 / $407.38	Facility	$120.23	$154.88	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $154.88 / $467.74	Professional	$120.23	$154.88	$467.74
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $154.88 / $186.21	Facility	$74.13	$154.88	$186.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $91.20 / $229.09	Professional	$64.57	$91.20	$229.09

Pennsylvania rates for HCPCS 81511