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 $257.04 / $2,089.30 / $7,244.36	Facility	$257.04	$2,089.30	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $251.19 / $562.34	Professional	$131.83	$251.19	$562.34
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $194.98 / $257.04	Professional	$181.97	$194.98	$257.04
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $1,905.46 / $8,709.64	Facility	$1,380.38	$1,905.46	$8,709.64
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $138.04	Professional	$131.83	$131.83	$138.04
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 $165.96 / $257.04 / $446.68	Professional	$165.96	$257.04	$446.68
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $426.58 / $467.74	Professional	$281.84	$426.58	$467.74
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $316.23 / $457.09	Professional	$194.98	$316.23	$457.09
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $851.14 / $1,819.70 / $3,235.94	Facility	$851.14	$1,819.70	$3,235.94
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $269.15 / $316.23	Professional	$181.97	$269.15	$316.23
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,148.15 / $1,659.59 / $8,317.64	Facility	$1,148.15	$1,659.59	$8,317.64
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $138.04	Professional	$131.83	$131.83	$138.04
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $218.78 / $1,584.89 / $6,165.95	Facility	$218.78	$1,584.89	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $251.19 / $478.63	Professional	$169.82	$251.19	$478.63
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $478.63 / $1,122.02	Professional	$251.19	$478.63	$1,122.02
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $269.15 / $309.03	Facility	$173.78	$269.15	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $275.42 / $416.87	Professional	$173.78	$275.42	$416.87
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 $162.18 / $251.19 / $436.52	Professional	$162.18	$251.19	$436.52

Pennsylvania rates for HCPCS 11603