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 $380.19 / $2,691.53 / $8,317.64	Facility	$380.19	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $128.82 / $537.03	Professional	$112.20	$128.82	$537.03
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $13,803.84 / $13,803.84 / $13,803.84	Facility	$13,803.84	$13,803.84	$13,803.84
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,454.71 / $2,454.71 / $2,454.71	Professional	$2,454.71	$2,454.71	$2,454.71
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $20,417.38 / $21,379.62 / $57,543.99	Facility	$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $302.00	Professional	$100.00	$100.00	$302.00
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $151.36 / $263.03	Professional	$117.49	$151.36	$263.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $562.34 / $741.31	Professional	$426.58	$562.34	$741.31
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $645.65 / $1,584.89 / $3,715.35	Facility	$645.65	$1,584.89	$3,715.35
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $125.89 / $138.04	Professional	$117.49	$125.89	$138.04
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $13,803.84 / $13,803.84 / $13,803.84	Facility	$13,803.84	$13,803.84	$13,803.84
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,454.71 / $2,454.71 / $2,454.71	Professional	$2,454.71	$2,454.71	$2,454.71
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $1,819.70 / $6,606.93	Facility	$128.82	$1,819.70	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $131.83 / $295.12	Professional	$112.20	$131.83	$295.12
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $776.25	Professional	$549.54	$549.54	$776.25
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $19.95 / $204.17	Facility	$19.95	$19.95	$204.17
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $19.95 / $204.17	Professional	$19.95	$19.95	$204.17
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,089.30 / $3,311.31 / $6,309.57	Facility	$2,089.30	$3,311.31	$6,309.57
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $144.54 / $263.03	Professional	$102.33	$144.54	$263.03

Pennsylvania rates for HCPCS 20936