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 $199.53 / $2,089.30 / $5,370.32	Facility	$199.53	$2,089.30	$5,370.32
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $181.97 / $457.09	Professional	$91.20	$181.97	$457.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $141.25 / $371.54	Professional	$131.83	$141.25	$371.54
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $794.33 / $9,549.93	Facility	$575.44	$794.33	$9,549.93
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $162.18	Professional	$93.33	$93.33	$162.18
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $2,691.53 / $57,543.99	Facility	$2,630.27	$2,691.53	$57,543.99
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $194.98 / $323.59	Professional	$134.90	$194.98	$323.59
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $194.98 / $338.84	Professional	$43.65	$194.98	$338.84
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $223.87 / $323.59	Professional	$158.49	$223.87	$323.59
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,071.52 / $1,778.28 / $3,311.31	Facility	$1,071.52	$1,778.28	$3,311.31
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $194.98 / $223.87	Professional	$154.88	$194.98	$223.87
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $691.83 / $9,332.54	Facility	$478.63	$691.83	$9,332.54
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $186.21	Professional	$93.33	$93.33	$186.21
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $1,202.26 / $5,370.32	Facility	$169.82	$1,202.26	$5,370.32
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $181.97 / $354.81	Professional	$128.82	$181.97	$354.81
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $331.13 / $758.58	Professional	$208.93	$331.13	$758.58
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $190.55 / $309.03	Facility	$128.82	$190.55	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $194.98 / $309.03	Professional	$141.25	$194.98	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $1,548.82 / $3,890.45	Facility	$549.54	$1,548.82	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $186.21 / $316.23	Professional	$123.03	$186.21	$316.23

Pennsylvania rates for HCPCS 11403