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 / $144.54 / $245.47	Facility	$37.15	$144.54	$245.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $61.66 / $123.03	Professional	$38.90	$61.66	$123.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $72.44 / $109.65	Professional	$60.26	$72.44	$109.65
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $56.23 / $74.13	Professional	$56.23	$56.23	$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 $75.86 / $75.86 / $75.86	Professional	$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $89.13	Facility	$85.11	$85.11	$89.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $87.10	Professional	$61.66	$61.66	$87.10
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $102.33 / $147.91	Professional	$70.79	$102.33	$147.91
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $77.62 / $77.62	Facility	$77.62	$77.62	$77.62
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $54.95 / $77.62	Professional	$46.77	$54.95	$77.62
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Facility	$83.18	$83.18	$83.18
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $74.13 / $77.62	Professional	$52.48	$74.13	$77.62
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $69.18 / $75.86	Professional	$56.23	$69.18	$75.86
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 $40.74 / $53.70 / $87.10	Professional	$40.74	$53.70	$87.10
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Facility	$269.15	$269.15	$269.15
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $47.86 / $67.61	Professional	$47.86	$47.86	$67.61
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $81.28 / $100.00	Facility	$72.44	$81.28	$100.00
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $81.28 / $275.42	Professional	$72.44	$81.28	$275.42
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $125.89 / $144.54	Facility	$54.95	$125.89	$144.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $57.54 / $104.71	Professional	$43.65	$57.54	$104.71

Pennsylvania rates for HCPCS L1812