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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $870.96 / $4,570.88	Facility		$186.21	$870.96	$4,570.88
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Facility	50	$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $102.33 / $309.03	Professional		$52.48	$102.33	$309.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $87.10 / $190.55	Professional		$46.77	$87.10	$190.55
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,862.09 / $3,019.95 / $4,265.80	Facility		$1,862.09	$3,019.95	$4,265.80
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $60.26 / $120.23	Professional		$54.95	$60.26	$120.23
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,230.27 / $57,543.99	Facility		$1,174.90	$1,230.27	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $190.55 / $213.80	Professional		$186.21	$190.55	$213.80
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $125.89 / $186.21 / $218.78	Professional	50	$125.89	$186.21	$218.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $100.00 / $194.98	Professional		$53.70	$100.00	$194.98
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $204.17 / $229.09	Professional		$134.90	$204.17	$229.09
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $138.04 / $213.80	Professional		$69.18	$138.04	$213.80
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $851.14 / $1,778.28	Facility		$549.54	$851.14	$1,778.28
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $933.25 / $933.25 / $933.25	Facility	50	$933.25	$933.25	$933.25
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $58.88 / $117.49	Professional		$47.86	$58.88	$117.49
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $2,951.21 / $4,265.80	Facility		$457.09	$2,951.21	$4,265.80
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $60.26 / $120.23	Professional		$43.65	$60.26	$120.23
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $912.01 / $5,011.87	Facility		$75.86	$912.01	$5,011.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $104.71 / $234.42	Professional		$52.48	$104.71	$234.42
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $660.69 / $2,344.23	Facility		$602.56	$660.69	$2,344.23
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $199.53 / $467.74	Professional		$95.50	$199.53	$467.74
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $85.11 / $416.87	Facility		$15.85	$85.11	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $97.72 / $416.87	Professional		$42.66	$97.72	$416.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $977.24 / $3,890.45	Facility		$371.54	$977.24	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $89.13 / $173.78	Professional		$52.48	$89.13	$173.78

Pennsylvania rates for HCPCS 11042