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 $239.88 / $2,344.23 / $7,244.36	Facility		$239.88	$2,344.23	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,949.84 / $1,949.84 / $1,949.84	Facility	50	$1,949.84	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $190.55 / $446.68	Professional		$75.86	$190.55	$446.68
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $190.55 / $229.09 / $741.31	Professional	50	$190.55	$229.09	$741.31
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $223.87	Professional		$120.23	$120.23	$223.87
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $229.09 / $371.54	Professional		$218.78	$229.09	$371.54
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $331.13 / $371.54 / $562.34	Professional	50	$331.13	$371.54	$562.34
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $165.96 / $380.19	Professional		$79.43	$165.96	$380.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $398.11 / $501.19	Professional		$288.40	$398.11	$501.19
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $281.84 / $398.11	Professional		$114.82	$281.84	$398.11
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,148.15 / $2,344.23 / $3,630.78	Facility		$1,148.15	$2,344.23	$3,630.78
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $1,513.56 / $6,165.95	Facility		$123.03	$1,513.56	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $190.55 / $446.68	Professional		$77.62	$190.55	$446.68
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $239.88 / $467.74	Professional		$131.83	$239.88	$467.74
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $229.09 / $575.44	Facility		$81.28	$229.09	$575.44
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $229.09 / $446.68	Professional		$79.43	$229.09	$446.68
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $1,905.46 / $3,890.45	Facility		$549.54	$1,905.46	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $165.96 / $346.74	Professional		$77.62	$165.96	$346.74

Pennsylvania rates for HCPCS 64520