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 $10.00 / $42.66 / $42.66	Facility	$10.00	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.02 / $21.88	Professional	$10.00	$12.02	$21.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $19.05 / $21.38	Professional	$19.05	$19.05	$21.38
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 $13.80 / $19.95 / $25.12	Professional	$13.80	$19.95	$25.12
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $16.22 / $25.70	Facility	$16.22	$16.22	$25.70
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $12.02 / $16.22	Professional	$12.02	$12.02	$16.22
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $36.31 / $52.48	Professional	$25.12	$36.31	$52.48
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $25.12 / $25.12	Facility	$25.12	$25.12	$25.12
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $17.38 / $25.12	Professional	$15.14	$17.38	$25.12
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $17.38 / $17.38	Professional	$16.60	$17.38	$17.38
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $10.00 / $10.00	Facility	$10.00	$10.00	$10.00
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.02 / $19.05	Professional	$10.00	$12.02	$19.05
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $19,054.61 / $19,054.61 / $19,054.61	Facility	$19,054.61	$19,054.61	$19,054.61
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $10.72 / $42.66	Professional	$10.72	$10.72	$42.66
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $16.98 / $83.18	Facility	$16.98	$16.98	$83.18
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $23.44 / $83.18	Professional	$16.98	$23.44	$83.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $31.62 / $36.31	Facility	$10.47	$31.62	$36.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $14.45 / $26.30	Professional	$10.96	$14.45	$26.30

Pennsylvania rates for HCPCS L8420