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 26 Typical Low / Median / Typical High $7.24 / $14.13 / $25.70	Facility	26	$7.24	$14.13	$25.70
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $14.45 / $45.71 / $213.80	Facility	TC	$14.45	$45.71	$213.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $25.70 / $57.54	Professional		$15.85	$25.70	$57.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $12.02 / $26.30	Professional	26	$6.03	$12.02	$26.30
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $100.00 / $107.15 / $109.65	Professional	50	$100.00	$107.15	$109.65
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $16.60 / $31.62	Professional	TC	$10.96	$16.60	$31.62
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $20.42 / $39.81	Professional		$20.42	$20.42	$39.81
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $10.96 / $14.45	Professional	26	$7.24	$10.96	$14.45
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $26.92 / $34.67	Professional		$26.92	$26.92	$34.67
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $9.33 / $11.75	Professional	26	$9.33	$9.33	$11.75
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $67.61 / $95.50 / $134.90	Facility	TC	$67.61	$95.50	$134.90
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $28.84 / $42.66	Professional		$20.89	$28.84	$42.66
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $9.55 / $17.78	Professional	26	$7.41	$9.55	$17.78
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $41.69 / $57.54 / $87.10	Professional	50	$41.69	$57.54	$87.10
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.80 / $18.62 / $29.51	Professional	TC	$13.80	$18.62	$29.51
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $28.18 / $43.65	Professional		$17.78	$28.18	$43.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.89 / $9.12 / $14.79	Professional	26	$5.89	$9.12	$14.79
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.48 / $19.50 / $29.51	Professional	TC	$11.48	$19.50	$29.51
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $30.20 / $37.15	Professional		$22.39	$30.20	$37.15
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.00 / $12.02	Professional	26	$7.41	$10.00	$12.02
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $19.50 / $25.12	Professional	TC	$15.14	$19.50	$25.12
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Facility	TC	$28.18	$28.18	$28.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $25.70 / $44.67	Professional		$19.50	$25.70	$44.67
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $8.71 / $15.85	Professional	26	$6.17	$8.71	$15.85
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $17.78 / $29.51	Professional	TC	$12.88	$17.78	$29.51
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $120.23 / $158.49 / $537.03	Facility	TC	$120.23	$158.49	$537.03
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $26.30 / $27.54	Professional		$23.99	$26.30	$27.54
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $8.32 / $12.30	Professional	26	$7.76	$8.32	$12.30
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $17.38 / $17.38 / $17.38	Professional	50	$17.38	$17.38	$17.38
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $26.92 / $30.90	Professional		$26.92	$26.92	$30.90
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $9.33 / $12.30	Professional	26	$9.33	$9.33	$12.30
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.08 / $10.96 / $25.70	Facility	26	$7.08	$10.96	$25.70
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $12.02 / $20.89 / $54.95	Facility	TC	$12.02	$20.89	$54.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $26.30 / $50.12	Professional		$17.78	$26.30	$50.12
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $8.71 / $16.22	Professional	26	$6.03	$8.71	$16.22
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.48 / $17.38 / $33.11	Professional	TC	$11.48	$17.38	$33.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $34.67 / $50.12	Professional		$13.18	$34.67	$50.12
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.24 / $7.24 / $7.94	Facility	26	$7.24	$7.24	$7.94
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $13.49 / $13.49 / $18.62	Facility	TC	$13.49	$13.49	$18.62
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $20.42 / $50.12	Professional		$12.02	$20.42	$50.12
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $7.24 / $7.59	Professional	26	$7.08	$7.24	$7.59
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.49 / $13.49 / $14.79	Professional	TC	$13.49	$13.49	$14.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $24.55 / $44.67	Professional		$18.20	$24.55	$44.67
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $8.71 / $17.78	Professional	26	$6.17	$8.71	$17.78
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.48 / $16.60 / $29.51	Professional	TC	$11.48	$16.60	$29.51

Pennsylvania rates for HCPCS 73020