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 $190.55 / $2,344.23 / $8,317.64	Facility	$190.55	$2,344.23	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $70.79 / $229.09	Professional	$40.74	$70.79	$229.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $64.57 / $66.07	Professional	$54.95	$64.57	$66.07
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $83.18	Professional	$64.57	$64.57	$83.18
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 $69.18 / $104.71 / $125.89	Professional	$69.18	$104.71	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $69.18 / $114.82	Professional	$42.66	$69.18	$114.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $69.18 / $114.82	Professional	$14.45	$69.18	$114.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $77.62 / $112.20	Professional	$54.95	$77.62	$112.20
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $1,023.29 / $1,047.13	Facility	$190.55	$1,023.29	$1,047.13
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $67.61 / $75.86	Professional	$61.66	$67.61	$75.86
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $64.57 / $69.18	Professional	$54.95	$64.57	$69.18
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $1,737.80 / $6,606.93	Facility	$64.57	$1,737.80	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $63.10 / $120.23	Professional	$40.74	$63.10	$120.23
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $117.49 / $275.42	Professional	$74.13	$117.49	$275.42
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $44.67 / $67.61	Facility	$29.51	$44.67	$67.61
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $50.12 / $74.13	Professional	$29.51	$50.12	$74.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $616.60 / $3,890.45	Facility	$316.23	$616.60	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $63.10 / $109.65	Professional	$40.74	$63.10	$109.65

Pennsylvania rates for HCPCS 11901