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 $85.11 / $1,412.54 / $7,244.36	Facility		$85.11	$1,412.54	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $676.08 / $2,238.72 / $6,760.83	Facility	50	$676.08	$2,238.72	$6,760.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $97.72 / $302.00	Professional		$54.95	$97.72	$302.00
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $109.65 / $194.98 / $537.03	Professional	50	$109.65	$194.98	$537.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $85.11 / $134.90	Professional		$45.71	$85.11	$134.90
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $75.86 / $128.82 / $128.82	Professional	50	$75.86	$128.82	$128.82
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $85.11 / $97.72	Professional		$42.66	$85.11	$97.72
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 $81.28 / $112.20 / $154.88	Professional		$81.28	$112.20	$154.88
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $123.03 / $177.83 / $229.09	Professional	50	$123.03	$177.83	$229.09
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $85.11 / $144.54	Professional		$56.23	$85.11	$144.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $144.54 / $181.97	Professional		$104.71	$144.54	$181.97
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $109.65 / $147.91	Professional		$72.44	$109.65	$147.91
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $1,047.13 / $1,348.96	Facility		$426.58	$1,047.13	$1,348.96
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $794.33 / $1,412.54 / $2,041.74	Facility	50	$794.33	$1,412.54	$2,041.74
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $97.72 / $125.89	Professional		$69.18	$97.72	$125.89
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $107.15 / $147.91 / $186.21	Professional	50	$107.15	$147.91	$186.21
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $85.11 / $97.72	Professional		$42.66	$85.11	$97.72
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $1,348.96 / $6,165.95	Facility		$83.18	$1,348.96	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $85.11 / $154.88	Professional		$56.23	$85.11	$154.88
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $107.15 / $173.78	Professional		$79.43	$107.15	$173.78
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $70.79 / $97.72	Facility		$13.80	$70.79	$97.72
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $70.79 / $97.72	Professional		$33.88	$70.79	$97.72
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 $52.48 / $77.62 / $141.25	Professional		$52.48	$77.62	$141.25

Pennsylvania rates for HCPCS 20526