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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $1,148.15 / $4,265.80	Facility		$104.71	$1,148.15	$4,265.80
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $758.58 / $1,995.26 / $3,311.31	Facility	50	$758.58	$1,995.26	$3,311.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $112.20 / $316.23	Professional		$57.54	$112.20	$316.23
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $123.03 / $218.78 / $630.96	Professional	50	$123.03	$218.78	$630.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $97.72 / $162.18	Professional		$53.70	$97.72	$162.18
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $70.79 / $141.25 / $239.88	Professional	50	$70.79	$141.25	$239.88
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $794.33 / $7,244.36	Facility		$575.44	$794.33	$7,244.36
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $61.66 / $109.65	Professional		$51.29	$61.66	$109.65
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 $97.72 / $134.90 / $169.82	Professional		$97.72	$134.90	$169.82
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $144.54 / $204.17 / $251.19	Professional	50	$144.54	$204.17	$251.19
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $102.33 / $169.82	Professional		$63.10	$102.33	$169.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $169.82 / $213.80	Professional		$123.03	$169.82	$213.80
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $128.82 / $169.82	Professional		$95.50	$128.82	$169.82
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $812.83 / $1,348.96	Facility		$354.81	$812.83	$1,348.96
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $691.83 / $1,380.38 / $2,041.74	Facility	50	$691.83	$1,380.38	$2,041.74
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $117.49 / $151.36	Professional		$100.00	$117.49	$151.36
Highmark BCBS Facility/Professional Professional Modifier 22 Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Professional	22	$117.49	$117.49	$117.49
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $151.36 / $181.97 / $229.09	Professional	50	$151.36	$181.97	$229.09
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $691.83 / $3,548.13	Facility		$416.87	$691.83	$3,548.13
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $104.71 / $117.49	Professional		$51.29	$104.71	$117.49
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $812.83 / $5,623.41	Facility		$74.13	$812.83	$5,623.41
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,380.38 / $1,380.38 / $2,570.40	Facility	50	$1,380.38	$1,380.38	$2,570.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $100.00 / $199.53	Professional		$57.54	$100.00	$199.53
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $104.71 / $218.78	Professional		$104.71	$104.71	$218.78
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $97.72 / $173.78	Facility		$56.23	$97.72	$173.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $81.28 / $173.78	Professional		$41.69	$81.28	$173.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $741.31 / $3,890.45	Facility		$363.08	$741.31	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $93.33 / $162.18	Professional		$56.23	$93.33	$162.18

Pennsylvania rates for HCPCS 20611