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 $5.13 / $16.22 / $43.65	Facility	$5.13	$16.22	$43.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $3.55 / $16.22	Professional	$3.02	$3.55	$16.22
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.34 / $2.34 / $3.98	Professional	$2.34	$2.34	$3.98
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Facility	$151.36	$151.36	$151.36
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.57 / $2.57 / $6.46	Professional	$2.57	$2.57	$6.46
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $27.54 / $5,011.87	Facility	$20.89	$27.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.09 / $3.09 / $12.30	Professional	$3.09	$3.09	$12.30
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.82 / $6.03 / $13.49	Facility	$2.82	$6.03	$13.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.29 / $4.57 / $7.08	Professional	$2.29	$4.57	$7.08
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.86 / $3.98 / $5.75	Professional	$1.86	$3.98	$5.75
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.98 / $3.98 / $3.98	Facility	$3.98	$3.98	$3.98
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.89 / $4.37 / $6.92	Professional	$3.89	$4.37	$6.92
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.50 / $9.77 / $21.38	Facility	$5.50	$9.77	$21.38
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.34 / $2.34 / $2.95	Professional	$2.34	$2.34	$2.95
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.72 / $5.37 / $234.42	Facility	$3.72	$5.37	$234.42
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.57 / $2.57 / $2.57	Professional	$2.57	$2.57	$2.57
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.75 / $6.17 / $20.89	Facility	$2.75	$6.17	$20.89
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.09 / $3.24 / $6.31	Professional	$2.09	$3.24	$6.31
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $1,949.84 / $2,454.71	Facility	$1,047.13	$1,949.84	$2,454.71
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.37 / $5.37 / $5.37	Facility	$5.37	$5.37	$5.37
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.09 / $5.37 / $6.61	Professional	$2.09	$5.37	$6.61
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.29 / $3.98 / $4.79	Facility	$2.29	$3.98	$4.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.78 / $2.63 / $6.92	Professional	$1.78	$2.63	$6.92

Pennsylvania rates for HCPCS 84520