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 $32.36 / $51.29 / $51.29	Facility	$32.36	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $39.81 / $61.66	Professional	$28.18	$39.81	$61.66
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $66.07	Professional	$39.81	$39.81	$66.07
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $42.66 / $42.66	Professional	$28.18	$42.66	$42.66
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility	$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Professional	$66.07	$66.07	$66.07
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $63.10	Facility	$39.81	$39.81	$63.10
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $46.77	Professional	$33.88	$33.88	$46.77
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $89.13 / $128.82	Professional	$61.66	$89.13	$128.82
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Facility	$67.61	$67.61	$67.61
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $47.86 / $67.61	Professional	$40.74	$47.86	$67.61
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Facility	$239.88	$239.88	$239.88
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $63.10 / $89.13	Professional	$46.77	$63.10	$89.13
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $42.66	Professional	$42.66	$42.66	$42.66
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $32.36	Facility	$32.36	$32.36	$32.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $39.81 / $61.66	Professional	$26.92	$39.81	$61.66
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $95.50 / $131.83	Professional	$0.60	$95.50	$131.83
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $47.86 / $63.10	Facility	$47.86	$47.86	$63.10
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $47.86 / $190.55	Professional	$47.86	$47.86	$190.55
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $30.20 / $42.66	Facility	$22.39	$30.20	$42.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $33.11 / $67.61	Professional	$23.44	$33.11	$67.61

Pennsylvania rates for HCPCS A7520