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 $616.60 / $2,818.38 / $8,709.64	Facility	$616.60	$2,818.38	$8,709.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $147.91 / $457.09	Professional	$128.82	$147.91	$457.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $141.25	Professional	$138.04	$138.04	$141.25
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility	$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $147.91 / $275.42	Professional	$144.54	$147.91	$275.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $177.83 / $288.40	Professional	$134.90	$177.83	$288.40
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $194.98 / $251.19	Professional	$147.91	$194.98	$251.19
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $162.18 / $229.09	Professional	$120.23	$162.18	$229.09
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $380.19 / $467.74 / $6,606.93	Facility	$380.19	$467.74	$6,606.93
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Professional	$158.49	$158.49	$158.49
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $1,819.70 / $6,606.93	Facility	$478.63	$1,819.70	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $158.49 / $323.59	Professional	$128.82	$158.49	$323.59
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $181.97 / $316.23	Professional	$144.54	$181.97	$316.23
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $257.04 / $436.52	Facility	$141.25	$257.04	$436.52
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $151.36 / $436.52	Professional	$85.11	$151.36	$436.52
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $630.96 / $4,466.84	Facility	$162.18	$630.96	$4,466.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $173.78 / $302.00	Professional	$120.23	$173.78	$302.00

Pennsylvania rates for HCPCS 20985