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 $114.82 / $630.96 / $5,370.32	Facility	$114.82	$630.96	$5,370.32
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $81.28 / $239.88	Professional	$47.86	$81.28	$239.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $52.48 / $85.11	Professional	$52.48	$52.48	$85.11
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,905.46 / $8,709.64 / $13,803.84	Facility	$1,905.46	$8,709.64	$13,803.84
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,230.27 / $57,543.99	Facility	$1,174.90	$1,230.27	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $144.54 / $144.54	Professional	$128.82	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $87.10 / $147.91	Professional	$54.95	$87.10	$147.91
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $144.54 / $158.49	Professional	$95.50	$144.54	$158.49
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $104.71 / $154.88	Professional	$70.79	$104.71	$154.88
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $363.08 / $676.08	Facility	$208.93	$363.08	$676.08
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $85.11	Professional	$72.44	$72.44	$85.11
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $6,456.54 / $12,022.64	Facility	$269.15	$6,456.54	$12,022.64
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $1,047.13 / $5,754.40	Facility	$81.28	$1,047.13	$5,754.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $77.62 / $165.96	Professional	$47.86	$77.62	$165.96
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $141.25 / $331.13	Professional	$83.18	$141.25	$331.13
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $53.70 / $95.50	Facility	$34.67	$53.70	$95.50
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $53.70 / $186.21	Professional	$34.67	$53.70	$186.21
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 $46.77 / $74.13 / $125.89	Professional	$46.77	$74.13	$125.89

Pennsylvania rates for HCPCS 16020