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 $64.57 / $851.14 / $5,754.40	Facility	$64.57	$851.14	$5,754.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $77.62 / $204.17	Professional	$40.74	$77.62	$204.17
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $57.54 / $93.33	Professional	$39.81	$57.54	$93.33
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $794.33 / $9,549.93	Facility	$575.44	$794.33	$9,549.93
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $64.57 / $72.44	Professional	$54.95	$64.57	$72.44
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 / $85.11 / $125.89	Professional	$58.88	$85.11	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $64.57 / $114.82	Professional	$42.66	$64.57	$114.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $97.72 / $123.03	Professional	$70.79	$97.72	$123.03
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $67.61 / $100.00	Professional	$40.74	$67.61	$100.00
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $724.44 / $1,380.38	Facility	$354.81	$724.44	$1,380.38
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $77.62 / $81.28	Professional	$66.07	$77.62	$81.28
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 $54.95 / $64.57 / $72.44	Professional	$54.95	$64.57	$72.44
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $933.25 / $5,623.41	Facility	$54.95	$933.25	$5,623.41
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $64.57 / $125.89	Professional	$40.74	$64.57	$125.89
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $97.72 / $134.90	Professional	$79.43	$97.72	$134.90
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $58.88 / $64.57	Facility	$41.69	$58.88	$64.57
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $58.88 / $72.44	Professional	$39.81	$58.88	$72.44
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 $38.90 / $60.26 / $104.71	Professional	$38.90	$60.26	$104.71

Pennsylvania rates for HCPCS 20553