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 / $1,348.96 / $7,244.36	Facility		$85.11	$1,348.96	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $831.76 / $1,513.56 / $2,454.71	Facility	50	$831.76	$1,513.56	$2,454.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $83.18 / $218.78	Professional		$43.65	$83.18	$218.78
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $102.33 / $162.18 / $380.19	Professional	50	$102.33	$162.18	$380.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $83.18 / $125.89	Professional		$77.62	$83.18	$125.89
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional	50	$125.89	$125.89	$125.89
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $891.25 / $2,290.87	Facility		$676.08	$891.25	$2,290.87
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $85.11 / $104.71	Professional		$23.99	$85.11	$104.71
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 / $91.20 / $138.04	Professional		$81.28	$91.20	$138.04
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $123.03 / $158.49 / $208.93	Professional	50	$123.03	$158.49	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $79.43 / $134.90	Professional		$47.86	$79.43	$134.90
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $141.25 / $177.83	Professional		$104.71	$141.25	$177.83
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $91.20 / $141.25	Professional		$50.12	$91.20	$141.25
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $660.69 / $1,023.29	Facility		$288.40	$660.69	$1,023.29
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $794.33 / $1,000.00 / $2,041.74	Facility	50	$794.33	$1,000.00	$2,041.74
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $97.72 / $112.20	Professional		$81.28	$97.72	$112.20
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $120.23 / $158.49 / $194.98	Professional	50	$120.23	$158.49	$194.98
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $691.83 / $2,238.72	Facility		$478.63	$691.83	$2,238.72
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $97.72	Professional		$85.11	$85.11	$97.72
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $1,584.89 / $6,165.95	Facility		$77.62	$1,584.89	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $79.43 / $162.18	Professional		$43.65	$79.43	$162.18
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $81.28 / $181.97	Professional		$79.43	$81.28	$181.97
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $77.62 / $234.42	Facility		$44.67	$77.62	$234.42
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $75.86 / $234.42	Professional		$33.11	$75.86	$234.42
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 $42.66 / $72.44 / $128.82	Professional		$42.66	$72.44	$128.82

Pennsylvania rates for HCPCS 20604