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 $61.66 / $1,000.00 / $7,244.36	Facility	$61.66	$1,000.00	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $48.98 / $190.55	Professional	$14.13	$48.98	$190.55
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $21.88 / $21.88	Professional	$21.88	$21.88	$21.88
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,511.38 / $8,912.51 / $22,908.68	Facility	$8,511.38	$8,912.51	$22,908.68
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $41.69	Professional	$32.36	$32.36	$41.69
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 $67.61 / $85.11 / $117.49	Professional	$67.61	$85.11	$117.49
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Facility	$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $47.86 / $91.20	Professional	$15.49	$47.86	$91.20
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $51.29 / $120.23	Professional	$19.05	$51.29	$120.23
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $72.44 / $112.20	Professional	$29.51	$72.44	$112.20
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $354.81 / $912.01	Facility	$181.97	$354.81	$912.01
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,511.38 / $8,912.51 / $22,908.68	Facility	$8,511.38	$8,912.51	$22,908.68
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $52.48	Professional	$32.36	$32.36	$52.48
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $1,348.96 / $6,165.95	Facility	$33.11	$1,348.96	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $41.69 / $114.82	Professional	$14.13	$41.69	$114.82
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $83.18 / $194.98	Professional	$29.51	$83.18	$194.98
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $34.67 / $75.86	Facility	$15.49	$34.67	$75.86
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $56.23 / $75.86	Professional	$15.14	$56.23	$75.86
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $616.60 / $3,890.45	Facility	$316.23	$616.60	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $35.48 / $89.13	Professional	$14.79	$35.48	$89.13

Pennsylvania rates for HCPCS 11055