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 $39.81 / $70.79 / $275.42	Facility	$39.81	$70.79	$275.42
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $47.86 / $93.33	Professional	$38.90	$47.86	$93.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional	$83.18	$83.18	$83.18
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 $97.72 / $97.72 / $97.72	Professional	$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $63.10 / $89.13	Facility	$63.10	$63.10	$89.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $45.71 / $63.10	Professional	$45.71	$45.71	$63.10
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 $100.00 / $100.00 / $100.00	Facility	$100.00	$100.00	$100.00
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $64.57 / $100.00	Professional	$60.26	$64.57	$100.00
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $39.81 / $446.68	Facility	$33.88	$39.81	$446.68
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $67.61 / $72.44	Professional	$38.90	$67.61	$72.44
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Facility	$39.81	$39.81	$39.81
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $47.86 / $63.10	Professional	$39.81	$47.86	$63.10
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $138.04	Professional	$54.95	$54.95	$138.04
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $69.18 / $269.15	Facility	$69.18	$69.18	$269.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $69.18 / $269.15	Professional	$69.18	$69.18	$269.15
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 $37.15 / $48.98 / $89.13	Professional	$37.15	$48.98	$89.13

Pennsylvania rates for HCPCS L1240