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 $776.25 / $4,073.80 / $8,317.64	Facility		$776.25	$4,073.80	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,137.96 / $2,137.96 / $4,786.30	Facility	50	$2,137.96	$2,137.96	$4,786.30
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $199.53 / $616.60	Professional		$107.15	$199.53	$616.60
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $245.47 / $363.08 / $1,513.56	Professional	50	$245.47	$363.08	$1,513.56
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,398.83 / $57,543.99	Facility		$2,344.23	$2,398.83	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $251.19 / $338.84	Professional		$181.97	$251.19	$338.84
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $245.47 / $371.54 / $501.19	Professional	50	$245.47	$371.54	$501.19
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $199.53 / $316.23	Professional		$123.03	$199.53	$316.23
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $331.13	Professional		$316.23	$316.23	$331.13
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $223.87 / $338.84	Professional		$120.23	$223.87	$338.84
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $1,023.29 / $1,071.52	Facility		$1,023.29	$1,023.29	$1,071.52
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $758.58 / $3,467.37 / $3,801.89	Facility	50	$758.58	$3,467.37	$3,801.89
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $3,630.78 / $7,244.36	Facility		$660.69	$3,630.78	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $186.21 / $389.05	Professional		$112.20	$186.21	$389.05
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $302.00 / $416.87	Professional		$154.88	$302.00	$416.87
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $186.21 / $478.63	Facility		$117.49	$186.21	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $190.55 / $478.63	Professional		$117.49	$190.55	$478.63
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $676.08 / $3,890.45	Facility		$354.81	$676.08	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $165.96 / $295.12	Professional		$100.00	$165.96	$295.12

Pennsylvania rates for HCPCS 69420