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 $870.96 / $3,715.35 / $7,244.36	Facility	$870.96	$3,715.35	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $549.54 / $1,778.28	Professional	$446.68	$549.54	$1,778.28
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $478.63	Professional	$478.63	$478.63	$478.63
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,951.21 / $4,073.80 / $19,498.45	Facility	$2,951.21	$4,073.80	$19,498.45
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $1,047.13	Professional	$549.54	$549.54	$1,047.13
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 $741.31 / $794.33 / $851.14	Professional	$741.31	$794.33	$851.14
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $616.60 / $1,047.13	Professional	$436.52	$616.60	$1,047.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $776.25 / $1,000.00	Professional	$575.44	$776.25	$1,000.00
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $630.96 / $891.25	Professional	$478.63	$630.96	$891.25
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,445.44 / $3,162.28 / $5,495.41	Facility	$1,445.44	$3,162.28	$5,495.41
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $575.44 / $1,122.02	Professional	$501.19	$575.44	$1,122.02
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,187.76 / $3,548.13 / $8,912.51	Facility	$2,187.76	$3,548.13	$8,912.51
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $616.60	Professional	$549.54	$549.54	$616.60
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $3,548.13 / $6,760.83	Facility	$537.03	$3,548.13	$6,760.83
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $588.84 / $1,174.90	Professional	$467.74	$588.84	$1,174.90
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,318.26 / $1,659.59 / $6,606.93	Facility	$1,318.26	$1,659.59	$6,606.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $912.01 / $1,096.48	Professional	$776.25	$912.01	$1,096.48
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $831.76	Facility	$478.63	$478.63	$831.76
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $831.76	Professional	$478.63	$478.63	$831.76
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 $426.58 / $588.84 / $1,023.29	Professional	$426.58	$588.84	$1,023.29

Pennsylvania rates for HCPCS 26145