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 $169.82 / $1,174.90 / $6,165.95	Facility	$169.82	$1,174.90	$6,165.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $173.78 / $575.44	Professional	$97.72	$173.78	$575.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $275.42	Professional	$165.96	$165.96	$275.42
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,311.31 / $15,135.61 / $23,988.33	Facility	$3,311.31	$15,135.61	$23,988.33
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $213.80	Professional	$186.21	$186.21	$213.80
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 $169.82 / $269.15 / $316.23	Professional	$169.82	$269.15	$316.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $165.96 / $263.03	Professional	$107.15	$165.96	$263.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $302.00 / $316.23	Professional	$302.00	$302.00	$316.23
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Facility	$112.20	$112.20	$112.20
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $190.55 / $302.00	Professional	$102.33	$190.55	$302.00
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $537.03 / $1,380.38	Facility	$316.23	$537.03	$1,380.38
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $120.23 / $186.21	Professional	$117.49	$120.23	$186.21
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $10,471.29 / $20,892.96	Facility	$275.42	$10,471.29	$20,892.96
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $213.80	Professional	$186.21	$186.21	$213.80
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $1,047.13 / $5,754.40	Facility	$144.54	$1,047.13	$5,754.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $165.96 / $323.59	Professional	$97.72	$165.96	$323.59
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $223.87 / $346.74	Professional	$162.18	$223.87	$346.74
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $141.25 / $309.03	Facility	$100.00	$141.25	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $177.83 / $309.03	Professional	$77.62	$177.83	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $616.60 / $3,890.45	Facility	$316.23	$616.60	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $147.91 / $251.19	Professional	$100.00	$147.91	$251.19

Pennsylvania rates for HCPCS 56420