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 $38.02 / $147.91 / $147.91	Facility	$38.02	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $48.98 / $74.13	Professional	$38.02	$48.98	$74.13
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility	$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional	$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $89.13	Facility	$66.07	$66.07	$89.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $66.07	Professional	$48.98	$48.98	$66.07
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $117.49 / $169.82	Professional	$83.18	$117.49	$169.82
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Facility	$95.50	$95.50	$95.50
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $63.10 / $95.50	Professional	$57.54	$63.10	$95.50
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional	$70.79	$70.79	$70.79
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Facility	$38.02	$38.02	$38.02
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $47.86 / $72.44	Professional	$38.02	$47.86	$72.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $120.23 / $173.78	Professional	$0.60	$120.23	$173.78
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $67.61 / $89.13	Facility	$31.62	$67.61	$89.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $67.61 / $102.33	Professional	$31.62	$67.61	$102.33
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $120.23 / $138.04	Facility	$43.65	$120.23	$138.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $46.77 / $89.13	Professional	$36.31	$46.77	$89.13

Pennsylvania rates for HCPCS L1040