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 $831.76 / $3,801.89 / $8,317.64	Facility	$831.76	$3,801.89	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $234.42 / $549.54	Professional	$147.91	$234.42	$549.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Professional	$165.96	$165.96	$165.96
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $134.90	Professional	$125.89	$125.89	$134.90
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 $169.82 / $257.04 / $426.58	Professional	$169.82	$257.04	$426.58
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $229.09 / $457.09	Professional	$120.23	$229.09	$457.09
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $309.03 / $446.68	Professional	$213.80	$309.03	$446.68
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $1,698.24 / $3,801.89	Facility	$954.99	$1,698.24	$3,801.89
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $269.15 / $295.12	Professional	$251.19	$269.15	$295.12
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional	$125.89	$125.89	$125.89
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $645.65 / $2,570.40 / $8,317.64	Facility	$645.65	$2,570.40	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $245.47 / $489.78	Professional	$158.49	$245.47	$489.78
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $467.74 / $1,071.52	Professional	$281.84	$467.74	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $186.21 / $407.38	Facility	$114.82	$186.21	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $257.04 / $407.38	Professional	$123.03	$257.04	$407.38
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 $154.88 / $239.88 / $416.87	Professional	$154.88	$239.88	$416.87

Pennsylvania rates for HCPCS 11642