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 $100.00 / $977.24 / $6,165.95	Facility	$100.00	$977.24	$6,165.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $112.20 / $302.00	Professional	$64.57	$112.20	$302.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $117.49 / $131.83	Professional	$112.20	$117.49	$131.83
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $89.13	Professional	$83.18	$83.18	$89.13
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 $91.20 / $141.25 / $158.49	Professional	$91.20	$141.25	$158.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $93.33 / $151.36	Professional	$66.07	$93.33	$151.36
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $141.25 / $154.88	Professional	$93.33	$141.25	$154.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $102.33 / $151.36	Professional	$70.79	$102.33	$151.36
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.50 / $467.74 / $1,096.48	Facility	$0.50	$467.74	$1,096.48
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $97.72 / $104.71	Professional	$72.44	$97.72	$104.71
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $83.18 / $83.18	Professional	$70.79	$83.18	$83.18
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $1,023.29 / $5,754.40	Facility	$81.28	$1,023.29	$5,754.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $87.10 / $165.96	Professional	$64.57	$87.10	$165.96
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $151.36 / $354.81	Professional	$83.18	$151.36	$354.81
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $89.13 / $117.49	Facility	$67.61	$89.13	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $87.10 / $117.49	Professional	$64.57	$87.10	$117.49
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $616.60 / $3,890.45	Facility	$323.59	$616.60	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $87.10 / $151.36	Professional	$60.26	$87.10	$151.36

Pennsylvania rates for HCPCS 11200