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 $60.26 / $181.97 / $416.87	Facility	$60.26	$181.97	$416.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $83.18 / $436.52	Professional	$52.48	$83.18	$436.52
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional	$70.79	$70.79	$70.79
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $151.36 / $2,089.30	Facility	$56.23	$151.36	$2,089.30
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $45.71 / $79.43	Professional	$45.71	$45.71	$79.43
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $489.78 / $5,011.87	Facility	$371.54	$489.78	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $54.95	Professional	$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $112.20 / $239.88	Facility	$64.57	$112.20	$239.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $64.57 / $151.36	Professional	$41.69	$64.57	$151.36
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $63.10 / $95.50	Professional	$48.98	$63.10	$95.50
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Facility	$70.79	$70.79	$70.79
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $104.71 / $177.83	Professional	$74.13	$104.71	$177.83
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $213.80 / $323.59	Facility	$131.83	$213.80	$323.59
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $79.43 / $144.54	Professional	$54.95	$79.43	$144.54
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $131.83 / $302.00	Facility	$66.07	$131.83	$302.00
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $45.71 / $70.79	Professional	$45.71	$45.71	$70.79
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $100.00 / $223.87	Facility	$56.23	$100.00	$223.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $66.07 / $138.04	Professional	$52.48	$66.07	$138.04
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $2,398.83 / $2,398.83	Facility	$1,000.00	$2,398.83	$2,398.83
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $38.02 / $60.26	Facility	$38.02	$38.02	$60.26
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $91.20 / $245.47	Professional	$38.02	$91.20	$245.47
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $70.79 / $85.11	Facility	$58.88	$70.79	$85.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $41.69 / $104.71	Professional	$29.51	$41.69	$104.71

Pennsylvania rates for HCPCS 87801