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 $56.23 / $691.83 / $5,370.32	Facility		$56.23	$691.83	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $660.69 / $2,454.71 / $4,168.69	Facility	50	$660.69	$2,454.71	$4,168.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $67.61 / $162.18	Professional		$36.31	$67.61	$162.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $50.12 / $95.50	Professional		$17.38	$50.12	$95.50
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $56.23 / $63.10	Professional		$56.23	$56.23	$63.10
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 $51.29 / $72.44 / $109.65	Professional		$51.29	$72.44	$109.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $56.23 / $100.00	Professional		$37.15	$56.23	$100.00
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $83.18 / $107.15	Professional		$61.66	$83.18	$107.15
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $58.88 / $87.10	Professional		$36.31	$58.88	$87.10
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $707.95 / $1,202.26	Facility		$295.12	$707.95	$1,202.26
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $446.68 / $588.84 / $1,348.96	Facility	50	$446.68	$588.84	$1,348.96
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $66.07 / $81.28	Professional		$60.26	$66.07	$81.28
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $56.23 / $64.57	Professional		$47.86	$56.23	$64.57
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $794.33 / $5,370.32	Facility		$43.65	$794.33	$5,370.32
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $56.23 / $107.15	Professional		$36.31	$56.23	$107.15
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $85.11 / $117.49	Professional		$75.86	$85.11	$117.49
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $38.90 / $69.18	Facility		$29.51	$38.90	$69.18
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $38.90 / $83.18	Professional		$29.51	$38.90	$83.18
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 $35.48 / $53.70 / $93.33	Professional		$35.48	$53.70	$93.33

Pennsylvania rates for HCPCS 20552