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 $229.09 / $2,454.71 / $7,244.36	Facility	$229.09	$2,454.71	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $190.55 / $524.81	Professional	$104.71	$190.55	$524.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional	$144.54	$144.54	$144.54
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $891.25 / $22,908.68	Facility	$575.44	$891.25	$22,908.68
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $169.82 / $190.55	Professional	$95.50	$169.82	$190.55
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,801.89 / $4,466.84 / $57,543.99	Facility	$3,801.89	$4,466.84	$57,543.99
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $204.17 / $338.84	Professional	$144.54	$204.17	$338.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $323.59 / $354.81	Professional	$213.80	$323.59	$354.81
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $239.88 / $346.74	Professional	$169.82	$239.88	$346.74
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,288.25 / $3,715.35 / $7,585.78	Facility	$1,288.25	$3,715.35	$7,585.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $199.53 / $213.80	Professional	$186.21	$199.53	$213.80
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $724.44 / $6,456.54	Facility	$524.81	$724.44	$6,456.54
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $190.55 / $190.55	Professional	$95.50	$190.55	$190.55
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $1,288.25 / $6,165.95	Facility	$186.21	$1,288.25	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $194.98 / $371.54	Professional	$138.04	$194.98	$371.54
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $346.74 / $812.83	Professional	$229.09	$346.74	$812.83
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $199.53 / $309.03	Facility	$141.25	$199.53	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $199.53 / $309.03	Professional	$93.33	$199.53	$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 $131.83 / $194.98 / $338.84	Professional	$131.83	$194.98	$338.84

Pennsylvania rates for HCPCS 11423