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 $891.25 / $3,162.28 / $7,244.36	Facility	$891.25	$3,162.28	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $549.54 / $1,621.81	Professional	$263.03	$549.54	$1,621.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $281.84 / $549.54	Professional	$141.25	$281.84	$549.54
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $3,467.37 / $27,542.29	Facility	$2,511.89	$3,467.37	$27,542.29
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $309.03 / $338.84	Professional	$154.88	$309.03	$338.84
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,801.89 / $4,466.84 / $57,543.99	Facility	$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $489.78 / $575.44	Professional	$416.87	$489.78	$575.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $537.03 / $1,023.29	Professional	$275.42	$537.03	$1,023.29
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,047.13 / $1,318.26	Professional	$758.58	$1,047.13	$1,318.26
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $758.58 / $1,047.13	Professional	$398.11	$758.58	$1,047.13
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $3,715.35 / $7,244.36	Facility	$1,995.26	$3,715.35	$7,244.36
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $338.84 / $588.84	Professional	$295.12	$338.84	$588.84
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,862.09 / $3,019.95 / $12,022.64	Facility	$1,862.09	$3,019.95	$12,022.64
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $309.03 / $354.81	Professional	$154.88	$309.03	$354.81
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $407.38 / $1,584.89 / $6,606.93	Facility	$407.38	$1,584.89	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $575.44 / $1,202.26	Professional	$295.12	$575.44	$1,202.26
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,288.25 / $1,621.81 / $5,754.40	Facility	$1,288.25	$1,621.81	$5,754.40
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $870.96 / $1,318.26	Professional	$446.68	$870.96	$1,318.26
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $416.87 / $691.83	Facility	$288.40	$416.87	$691.83
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $407.38 / $588.84	Professional	$288.40	$407.38	$588.84
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $2,884.03 / $5,623.41	Facility	$1,000.00	$2,884.03	$5,623.41
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $501.19 / $954.99	Professional	$257.04	$501.19	$954.99

Pennsylvania rates for HCPCS 26055