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 $213.80 / $2,089.30 / $7,244.36	Facility	$213.80	$2,089.30	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $208.93 / $676.08	Professional	$128.82	$208.93	$676.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $218.78 / $288.40	Professional	$147.91	$218.78	$288.40
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $14,125.38 / $14,125.38 / $14,125.38	Facility	$14,125.38	$14,125.38	$14,125.38
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $380.19	Professional	$218.78	$218.78	$380.19
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
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $234.42 / $380.19	Professional	$147.91	$234.42	$380.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $371.54 / $407.38	Professional	$245.47	$371.54	$407.38
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $295.12 / $398.11	Professional	$213.80	$295.12	$398.11
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $933.25 / $1,445.44 / $2,754.23	Facility	$933.25	$1,445.44	$2,754.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Professional	$128.82	$128.82	$128.82
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $14,125.38 / $14,125.38 / $14,125.38	Facility	$14,125.38	$14,125.38	$14,125.38
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Professional	$218.78	$218.78	$218.78
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $1,047.13 / $5,370.32	Facility	$204.17	$1,047.13	$5,370.32
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $213.80 / $457.09	Professional	$131.83	$213.80	$457.09
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $933.25 / $933.25 / $1,202.26	Facility	$933.25	$933.25	$1,202.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $389.05 / $912.01	Professional	$234.42	$389.05	$912.01
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $251.19 / $416.87	Facility	$147.91	$251.19	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $251.19 / $416.87	Professional	$147.91	$251.19	$416.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $1,513.56 / $3,890.45	Facility	$363.08	$1,513.56	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $223.87 / $380.19	Professional	$141.25	$223.87	$380.19

Pennsylvania rates for HCPCS 11043