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 $40.74 / $158.49 / $158.49	Facility	$40.74	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $46.77 / $77.62	Professional	$39.81	$46.77	$77.62
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional	$85.11	$85.11	$85.11
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 $100.00 / $100.00 / $100.00	Professional	$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $87.10	Facility	$70.79	$70.79	$87.10
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $70.79	Professional	$51.29	$51.29	$70.79
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $114.82 / $165.96	Professional	$79.43	$114.82	$165.96
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Facility	$102.33	$102.33	$102.33
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $66.07 / $102.33	Professional	$60.26	$66.07	$102.33
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $69.18 / $74.13	Professional	$39.81	$69.18	$74.13
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $40.74 / $40.74	Facility	$40.74	$40.74	$40.74
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $48.98 / $64.57	Professional	$40.74	$48.98	$64.57
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $117.49 / $169.82	Professional	$0.60	$117.49	$169.82
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $95.50	Facility	$70.79	$70.79	$95.50
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $81.28 / $107.15	Professional	$70.79	$81.28	$107.15
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $114.82 / $131.83	Facility	$41.69	$114.82	$131.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $50.12 / $89.13	Professional	$36.31	$50.12	$89.13

Pennsylvania rates for HCPCS L1260