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 $117.49 / $977.24 / $5,754.40	Facility	$117.49	$977.24	$5,754.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $131.83 / $338.84	Professional	$44.67	$131.83	$338.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $162.18 / $186.21	Professional	$141.25	$162.18	$186.21
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,786.30 / $11,748.98 / $17,378.01	Facility	$4,786.30	$11,748.98	$17,378.01
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $60.26 / $77.62	Professional	$21.38	$60.26	$77.62
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,258.93 / $57,543.99	Facility	$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $186.21 / $213.80	Professional	$120.23	$186.21	$213.80
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $112.20 / $204.17	Professional	$45.71	$112.20	$204.17
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $186.21 / $208.93	Professional	$125.89	$186.21	$208.93
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $138.04 / $194.98	Professional	$95.50	$138.04	$194.98
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $1,047.13 / $1,905.46	Facility	$239.88	$1,047.13	$1,905.46
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $120.23 / $138.04	Professional	$104.71	$120.23	$138.04
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $8,709.64 / $16,218.10	Facility	$537.03	$8,709.64	$16,218.10
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $102.33 / $120.23	Professional	$21.38	$102.33	$120.23
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $1,202.26 / $5,754.40	Facility	$74.13	$1,202.26	$5,754.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $107.15 / $218.78	Professional	$41.69	$107.15	$218.78
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $144.54 / $144.54	Professional	$138.04	$144.54	$144.54
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $117.49 / $309.03	Facility	$45.71	$117.49	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $117.49 / $186.21	Professional	$15.85	$117.49	$186.21
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $977.24 / $3,890.45	Facility	$363.08	$977.24	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $100.00 / $194.98	Professional	$44.67	$100.00	$194.98

Pennsylvania rates for HCPCS 11104