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 $831.76 / $5,011.87 / $8,709.64	Facility	$831.76	$5,011.87	$8,709.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $478.63 / $1,096.48	Professional	$316.23	$478.63	$1,096.48
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Professional	$331.13	$331.13	$331.13
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $6,165.95 / $57,543.99	Facility	$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $489.78 / $524.81	Professional	$489.78	$489.78	$524.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $575.44 / $954.99	Professional	$302.00	$575.44	$954.99
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $478.63 / $616.60	Professional	$363.08	$478.63	$616.60
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $446.68 / $776.25	Professional	$309.03	$446.68	$776.25
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,715.35 / $7,762.47 / $15,135.61	Facility	$3,715.35	$7,762.47	$15,135.61
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $380.19 / $537.03	Professional	$346.74	$380.19	$537.03
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $3,630.78 / $8,317.64	Facility	$660.69	$3,630.78	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $524.81 / $1,122.02	Professional	$316.23	$524.81	$1,122.02
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $524.81 / $1,288.25	Professional	$416.87	$524.81	$1,288.25
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $467.74 / $467.74	Facility	$338.84	$467.74	$467.74
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $446.68 / $467.74	Professional	$338.84	$446.68	$467.74
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $3,981.07 / $9,332.54	Facility	$1,659.59	$3,981.07	$9,332.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $446.68 / $812.83	Professional	$288.40	$446.68	$812.83

Pennsylvania rates for HCPCS 20245