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 $707.95 / $5,011.87 / $9,549.93	Facility	$707.95	$5,011.87	$9,549.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $602.56 / $1,698.24	Professional	$346.74	$602.56	$1,698.24
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $389.05 / $645.65	Professional	$380.19	$389.05	$645.65
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,019.95 / $4,570.88 / $40,738.03	Facility	$3,019.95	$4,570.88	$40,738.03
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $436.52 / $467.74	Professional	$218.78	$436.52	$467.74
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $5,248.07 / $57,543.99	Facility	$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $588.84 / $645.65	Professional	$588.84	$588.84	$645.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $588.84 / $1,071.52	Professional	$371.54	$588.84	$1,071.52
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,023.29 / $1,318.26	Professional	$758.58	$1,023.29	$1,318.26
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $660.69 / $1,047.13	Professional	$309.03	$660.69	$1,047.13
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,388.44 / $6,456.54 / $13,182.57	Facility	$3,388.44	$6,456.54	$13,182.57
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $436.52 / $588.84	Professional	$398.11	$436.52	$588.84
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,691.53 / $3,715.35 / $19,498.45	Facility	$2,691.53	$3,715.35	$19,498.45
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $436.52 / $489.78	Professional	$218.78	$436.52	$489.78
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $1,584.89 / $8,317.64	Facility	$524.81	$1,584.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $630.96 / $1,202.26	Professional	$407.38	$630.96	$1,202.26
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,235.94 / $4,073.80 / $9,772.37	Facility	$3,235.94	$4,073.80	$9,772.37
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $954.99 / $1,318.26	Professional	$398.11	$954.99	$1,318.26
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $389.05 / $478.63 / $588.84	Facility	$389.05	$478.63	$588.84
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $478.63 / $588.84	Professional	$398.11	$478.63	$588.84
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $3,981.07 / $9,332.54	Facility	$1,659.59	$3,981.07	$9,332.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $588.84 / $1,096.48	Professional	$363.08	$588.84	$1,096.48

Pennsylvania rates for HCPCS 20680