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 $275.42 / $1,621.81 / $7,244.36	Facility	$275.42	$1,621.81	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $257.04 / $512.86	Professional	$162.18	$257.04	$512.86
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,570.40 / $57,543.99	Facility	$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Professional	$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $281.84 / $467.74	Professional	$177.83	$281.84	$467.74
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $489.78 / $549.54	Professional	$323.59	$489.78	$549.54
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $354.81 / $512.86	Professional	$218.78	$354.81	$512.86
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,230.27 / $1,862.09 / $3,630.78	Facility	$1,230.27	$1,862.09	$3,630.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Professional	$288.40	$288.40	$288.40
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $1,348.96 / $6,165.95	Facility	$263.03	$1,348.96	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $269.15 / $575.44	Professional	$162.18	$269.15	$575.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $478.63 / $1,122.02	Professional	$239.88	$478.63	$1,122.02
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $288.40 / $354.81	Facility	$173.78	$288.40	$354.81
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $288.40 / $354.81	Professional	$181.97	$288.40	$354.81
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $1,513.56 / $3,890.45	Facility	$363.08	$1,513.56	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $257.04 / $436.52	Professional	$162.18	$257.04	$436.52

Pennsylvania rates for HCPCS 12020