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 $239.88 / $2,570.40 / $7,244.36	Facility	$239.88	$2,570.40	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $204.17 / $562.34	Professional	$125.89	$204.17	$562.34
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $208.93 / $416.87	Professional	$141.25	$208.93	$416.87
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $1,905.46 / $13,803.84	Facility	$1,380.38	$1,905.46	$13,803.84
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $104.71 / $112.20	Professional	$104.71	$104.71	$112.20
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,801.89 / $3,801.89 / $57,543.99	Facility	$3,801.89	$3,801.89	$57,543.99
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $218.78 / $354.81	Professional	$144.54	$218.78	$354.81
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $363.08 / $398.11	Professional	$239.88	$363.08	$398.11
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $263.03 / $380.19	Professional	$177.83	$263.03	$380.19
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $3,981.07 / $7,244.36	Facility	$1,737.80	$3,981.07	$7,244.36
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $223.87 / $245.47	Professional	$165.96	$223.87	$245.47
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,148.15 / $1,659.59 / $13,489.63	Facility	$1,148.15	$1,659.59	$13,489.63
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Professional	$104.71	$104.71	$104.71
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $1,288.25 / $6,165.95	Facility	$199.53	$1,288.25	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $208.93 / $398.11	Professional	$144.54	$208.93	$398.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $371.54 / $870.96	Professional	$234.42	$371.54	$870.96
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $218.78 / $309.03	Facility	$158.49	$218.78	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $223.87 / $309.03	Professional	$144.54	$223.87	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $2,951.21 / $5,888.44	Facility	$1,000.00	$2,951.21	$5,888.44
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $204.17 / $354.81	Professional	$138.04	$204.17	$354.81

Pennsylvania rates for HCPCS 11404