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 $66.07 / $933.25 / $4,265.80	Facility		$66.07	$933.25	$4,265.80
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $74.13 / $1,318.26 / $2,570.40	Facility	50	$74.13	$1,318.26	$2,570.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $79.43 / $251.19	Professional		$38.90	$79.43	$251.19
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $74.13 / $125.89 / $380.19	Professional	50	$74.13	$125.89	$380.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $56.23 / $89.13	Professional		$30.90	$56.23	$89.13
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $87.10 / $87.10 / $131.83	Professional	50	$87.10	$87.10	$131.83
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $794.33 / $16,595.87	Facility		$575.44	$794.33	$16,595.87
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $46.77 / $61.66	Professional		$46.77	$46.77	$61.66
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 $57.54 / $83.18 / $109.65	Professional		$57.54	$83.18	$109.65
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $87.10 / $125.89 / $162.18	Professional	50	$87.10	$125.89	$162.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $61.66 / $104.71	Professional		$40.74	$61.66	$104.71
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $97.72 / $123.03	Professional		$72.44	$97.72	$123.03
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $66.07 / $102.33	Professional		$42.66	$66.07	$102.33
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $676.08 / $1,348.96	Facility		$208.93	$676.08	$1,348.96
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $588.84 / $1,318.26 / $2,089.30	Facility	50	$588.84	$1,318.26	$2,089.30
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $70.79 / $83.18	Professional		$60.26	$70.79	$83.18
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $97.72 / $104.71 / $131.83	Professional	50	$97.72	$104.71	$131.83
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $676.08 / $1,698.24	Facility		$416.87	$676.08	$1,698.24
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $58.88 / $67.61	Professional		$46.77	$58.88	$67.61
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $831.76 / $5,754.40	Facility		$45.71	$831.76	$5,754.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $58.88 / $109.65	Professional		$37.15	$58.88	$109.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $91.20 / $128.82	Professional		$89.13	$91.20	$128.82
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $47.86 / $141.25	Facility		$15.85	$47.86	$141.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $56.23 / $141.25	Professional		$23.44	$56.23	$141.25
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 $36.31 / $56.23 / $100.00	Professional		$36.31	$56.23	$100.00

Pennsylvania rates for HCPCS 20550