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 $588.84 / $5,370.32 / $8,511.38	Facility	$588.84	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $120.23 / $186.21	Professional	$87.10	$120.23	$186.21
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 $144.54 / $199.53 / $245.47	Professional	$144.54	$199.53	$245.47
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $138.04 / $234.42	Professional	$93.33	$138.04	$234.42
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $245.47 / $269.15	Professional	$162.18	$245.47	$269.15
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $181.97 / $263.03	Professional	$123.03	$181.97	$263.03
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $3,981.07 / $8,317.64	Facility	$588.84	$3,981.07	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $120.23 / $169.82	Professional	$87.10	$120.23	$169.82
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $218.78 / $512.86	Professional	$165.96	$218.78	$512.86
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $100.00 / $147.91	Facility	$67.61	$100.00	$147.91
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $100.00 / $144.54	Professional	$67.61	$100.00	$144.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $1,548.82 / $3,890.45	Facility	$363.08	$1,548.82	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $134.90 / $234.42	Professional	$89.13	$134.90	$234.42

Pennsylvania rates for HCPCS 11952