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 $37.15 / $52.48 / $257.04	Facility	$37.15	$52.48	$257.04
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $46.77 / $95.50	Professional	$37.15	$46.77	$95.50
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $77.62 / $77.62	Professional	$77.62	$77.62	$77.62
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 $91.20 / $91.20 / $91.20	Professional	$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $91.20	Facility	$60.26	$60.26	$91.20
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $60.26	Professional	$44.67	$44.67	$60.26
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 $93.33 / $93.33 / $93.33	Facility	$93.33	$93.33	$93.33
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $63.10 / $93.33	Professional	$56.23	$63.10	$93.33
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $27.54 / $426.58	Facility	$25.12	$27.54	$426.58
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $64.57 / $69.18	Professional	$37.15	$64.57	$69.18
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Facility	$37.15	$37.15	$37.15
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $45.71 / $64.57	Professional	$37.15	$45.71	$64.57
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 $66.07 / $66.07 / $691.83	Facility	$66.07	$66.07	$691.83
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $371.54	Professional	$66.07	$66.07	$371.54
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 / $45.71 / $91.20	Professional	$36.31	$45.71	$91.20

Pennsylvania rates for HCPCS L1290