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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $1,995.26 / $7,762.47	Facility		$309.03	$1,995.26	$7,762.47
Aetna Facility/Professional Facility Modifier 54 Typical Low / Median / Typical High $398.11 / $398.11 / $398.11	Facility	54	$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $263.03 / $489.78	Professional		$173.78	$263.03	$489.78
Aetna Facility/Professional Professional Modifier 54 Typical Low / Median / Typical High $213.80 / $263.03 / $389.05	Professional	54	$213.80	$263.03	$389.05
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $239.88	Professional		$213.80	$213.80	$239.88
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $295.12 / $309.03	Professional		$245.47	$295.12	$309.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $229.09 / $389.05	Professional		$165.96	$229.09	$389.05
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $389.05 / $489.78	Professional		$281.84	$389.05	$489.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $275.42 / $389.05	Professional		$169.82	$275.42	$389.05
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $630.96 / $1,318.26	Facility		$194.98	$630.96	$1,318.26
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $218.78 / $251.19	Professional		$190.55	$218.78	$251.19
Highmark BCBS Facility/Professional Professional Modifier 54 Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Professional	54	$107.15	$107.15	$107.15
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $245.47	Professional		$213.80	$213.80	$245.47
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $1,819.70 / $6,606.93	Facility		$223.87	$1,819.70	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $234.42 / $446.68	Professional		$177.83	$234.42	$446.68
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $309.03 / $467.74	Professional		$199.53	$309.03	$467.74
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $165.96 / $199.53	Facility		$53.70	$165.96	$199.53
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $181.97 / $331.13	Professional		$53.70	$181.97	$331.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $676.08 / $3,890.45	Facility		$354.81	$676.08	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $213.80 / $389.05	Professional		$154.88	$213.80	$389.05

Pennsylvania rates for HCPCS 26720