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 $81.28 / $831.76 / $4,265.80	Facility		$81.28	$831.76	$4,265.80
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $407.38 / $1,174.90 / $2,398.83	Facility	50	$407.38	$1,174.90	$2,398.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $70.79 / $169.82	Professional		$37.15	$70.79	$169.82
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $77.62 / $123.03 / $380.19	Professional	50	$77.62	$123.03	$380.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $54.95 / $83.18	Professional		$43.65	$54.95	$83.18
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $77.62 / $77.62 / $77.62	Professional	50	$77.62	$77.62	$77.62
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $794.33 / $13,182.57	Facility		$575.44	$794.33	$13,182.57
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $47.86 / $56.23	Professional		$28.18	$47.86	$56.23
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 $53.70 / $77.62 / $104.71	Professional		$53.70	$77.62	$104.71
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $81.28 / $117.49 / $158.49	Professional	50	$81.28	$117.49	$158.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $58.88 / $97.72	Professional		$38.90	$58.88	$97.72
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $93.33 / $117.49	Professional		$67.61	$93.33	$117.49
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $64.57 / $97.72	Professional		$42.66	$64.57	$97.72
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $691.83 / $1,348.96	Facility		$281.84	$691.83	$1,348.96
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $794.33 / $1,288.25 / $1,995.26	Facility	50	$794.33	$1,288.25	$1,995.26
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $66.07 / $85.11	Professional		$46.77	$66.07	$85.11
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $91.20 / $97.72 / $109.65	Professional	50	$91.20	$97.72	$109.65
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 $44.67 / $47.86 / $58.88	Professional		$44.67	$47.86	$58.88
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $812.83 / $5,754.40	Facility		$47.86	$812.83	$5,754.40
Martin's Point Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $933.25 / $933.25 / $1,000.00	Facility	50	$933.25	$933.25	$1,000.00
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $56.23 / $104.71	Professional		$36.31	$56.23	$104.71
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $85.11 / $134.90	Professional		$72.44	$85.11	$134.90
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $40.74 / $57.54	Facility		$11.75	$40.74	$57.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $38.02 / $70.79	Professional		$11.75	$38.02	$70.79
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 $34.67 / $53.70 / $95.50	Professional		$34.67	$53.70	$95.50

Pennsylvania rates for HCPCS 20605