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 $43.65 / $1,230.27 / $7,244.36	Facility	$43.65	$1,230.27	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $41.69 / $123.03	Professional	$20.89	$41.69	$123.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $63.10 / $81.28	Professional	$41.69	$63.10	$81.28
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $40.74 / $52.48	Professional	$33.11	$40.74	$52.48
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,258.93 / $57,543.99	Facility	$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $67.61 / $81.28	Professional	$44.67	$67.61	$81.28
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Facility	$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $43.65 / $70.79	Professional	$23.44	$43.65	$70.79
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $69.18 / $75.86	Professional	$45.71	$69.18	$75.86
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $51.29 / $75.86	Professional	$36.31	$51.29	$75.86
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $117.49 / $218.78	Facility	$112.20	$117.49	$218.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $40.74 / $40.74	Professional	$33.11	$40.74	$40.74
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $1,584.89 / $6,165.95	Facility	$41.69	$1,584.89	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $39.81 / $81.28	Professional	$21.88	$39.81	$81.28
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Facility	$93.33	$93.33	$93.33
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $75.86 / $177.83	Professional	$50.12	$75.86	$177.83
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $42.66 / $63.10	Facility	$19.05	$42.66	$63.10
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $34.67 / $67.61	Professional	$16.60	$34.67	$67.61
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $436.52 / $3,890.45	Facility	$125.89	$436.52	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $38.90 / $69.18	Professional	$22.91	$38.90	$69.18

Pennsylvania rates for HCPCS 11721