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 $16.60 / $52.48 / $117.49	Facility	$16.60	$52.48	$117.49
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.30 / $25.70	Professional	$10.00	$12.30	$25.70
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $8.71 / $8.71	Professional	$8.71	$8.71	$8.71
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $67.61 / $1,905.46	Facility	$21.88	$67.61	$1,905.46
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $102.33 / $5,011.87	Facility	$75.86	$102.33	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $11.22 / $13.80	Professional	$11.22	$11.22	$13.80
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $21.88 / $48.98	Facility	$10.47	$21.88	$48.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $18.62 / $35.48	Professional	$8.51	$18.62	$35.48
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.76 / $10.23 / $20.89	Professional	$6.76	$10.23	$20.89
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $14.45 / $14.45	Facility	$14.45	$14.45	$14.45
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $16.22 / $25.12	Professional	$14.13	$16.22	$25.12
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $40.74 / $85.11	Facility	$21.38	$40.74	$85.11
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $10.96 / $14.13	Professional	$8.71	$10.96	$14.13
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $57.54 / $134.90	Facility	$16.60	$57.54	$134.90
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $24.55 / $63.10	Facility	$11.75	$24.55	$63.10
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.02 / $22.39	Professional	$10.00	$12.02	$22.39
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $12.88 / $35.48	Facility	$8.91	$12.88	$35.48
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $12.88 / $20.42	Professional	$10.23	$12.88	$20.42
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.51 / $14.45 / $17.38	Facility	$8.51	$14.45	$17.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $9.55 / $25.12	Professional	$6.46	$9.55	$25.12

Pennsylvania rates for HCPCS 82104