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 $120.23 / $512.86 / $1,862.09	Facility	$120.23	$512.86	$1,862.09
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $120.23 / $398.11	Professional	$53.70	$120.23	$398.11
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $87.10 / $138.04	Professional	$26.92	$87.10	$138.04
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $1,819.70 / $2,754.23	Facility	$660.69	$1,819.70	$2,754.23
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $89.13	Professional	$51.29	$51.29	$89.13
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 $93.33 / $109.65 / $109.65	Professional	$93.33	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $112.20 / $218.78	Professional	$56.23	$112.20	$218.78
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $218.78 / $239.88	Professional	$144.54	$218.78	$239.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $162.18 / $229.09	Professional	$112.20	$162.18	$229.09
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $457.09 / $707.95	Facility	$213.80	$457.09	$707.95
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $95.50 / $120.23	Professional	$67.61	$95.50	$120.23
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $218.78 / $1,258.93 / $2,754.23	Facility	$218.78	$1,258.93	$2,754.23
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $66.07	Professional	$51.29	$51.29	$66.07
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $177.83 / $6,165.95	Facility	$50.12	$177.83	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $102.33 / $223.87	Professional	$50.12	$102.33	$223.87
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $977.24 / $1,047.13 / $1,258.93	Facility	$977.24	$1,047.13	$1,258.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $186.21 / $436.52	Professional	$173.78	$186.21	$436.52
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $75.86 / $109.65	Facility	$53.70	$75.86	$109.65
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $75.86 / $117.49	Professional	$50.12	$75.86	$117.49
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $616.60 / $3,890.45	Facility	$323.59	$616.60	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $104.71 / $194.98	Professional	$52.48	$104.71	$194.98

Pennsylvania rates for HCPCS 12011