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 $60.26 / $1,148.15 / $6,165.95	Facility		$60.26	$1,148.15	$6,165.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $70.79 / $245.47	Professional		$39.81	$70.79	$245.47
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $72.44 / $79.43 / $109.65	Professional	50	$72.44	$79.43	$109.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $54.95 / $93.33	Professional		$29.51	$54.95	$93.33
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $794.33 / $5,754.40	Facility		$575.44	$794.33	$5,754.40
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $67.61	Professional		$60.26	$60.26	$67.61
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 $58.88 / $60.26 / $120.23	Professional		$58.88	$60.26	$120.23
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $56.23 / $83.18 / $120.23	Professional	50	$56.23	$83.18	$120.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $61.66 / $107.15	Professional		$40.74	$61.66	$107.15
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 $43.65 / $64.57 / $102.33	Professional		$43.65	$64.57	$102.33
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $630.96 / $1,380.38	Facility		$83.18	$630.96	$1,380.38
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $69.18 / $77.62	Professional		$60.26	$69.18	$77.62
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $67.61 / $70.79 / $75.86	Professional	50	$67.61	$70.79	$75.86
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 $60.26 / $60.26 / $69.18	Professional		$60.26	$60.26	$69.18
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $1,348.96 / $6,165.95	Facility		$46.77	$1,348.96	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $58.88 / $109.65	Professional		$38.02	$58.88	$109.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $93.33 / $128.82	Professional		$75.86	$93.33	$128.82
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $56.23 / $141.25	Facility		$15.85	$56.23	$141.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $56.23 / $141.25	Professional		$25.70	$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 $37.15 / $56.23 / $100.00	Professional		$37.15	$56.23	$100.00

Pennsylvania rates for HCPCS 20551