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 $48.98 / $112.20 / $190.55	Facility	26	$48.98	$112.20	$190.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $117.49 / $208.93	Professional		$89.13	$117.49	$208.93
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $48.98 / $100.00	Professional	26	$31.62	$48.98	$100.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $33.11 / $33.11	Professional	26	$33.11	$33.11	$33.11
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $107.15 / $204.17	Professional		$104.71	$107.15	$204.17
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $50.12 / $85.11	Professional	26	$47.86	$50.12	$85.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $128.82 / $218.78	Professional		$77.62	$128.82	$218.78
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $46.77 / $87.10	Professional	26	$32.36	$46.77	$87.10
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $147.91 / $181.97	Professional		$109.65	$147.91	$181.97
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $64.57 / $79.43	Professional	26	$48.98	$64.57	$79.43
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $114.82 / $223.87	Professional		$56.23	$114.82	$223.87
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $51.29 / $87.10	Professional	26	$28.84	$51.29	$87.10
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $60.26 / $85.11	Professional	26	$54.95	$60.26	$85.11
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $48.98 / $70.79 / $112.20	Facility	26	$48.98	$70.79	$112.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $128.82 / $251.19	Professional		$91.20	$128.82	$251.19
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $50.12 / $95.50	Professional	26	$32.36	$50.12	$95.50
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $162.18 / $275.42	Professional		$95.50	$162.18	$275.42
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $37.15 / $48.98 / $48.98	Facility	26	$37.15	$48.98	$48.98
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $74.13 / $346.74	Professional		$28.84	$74.13	$346.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $48.98 / $50.12	Professional	26	$37.15	$48.98	$50.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $112.20 / $204.17	Professional		$74.13	$112.20	$204.17
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $41.69 / $89.13	Professional	26	$30.90	$41.69	$89.13

Pennsylvania rates for HCPCS 75820