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 26 Typical Low / Median / Typical High $87.10 / $87.10 / $125.89	Facility	26	$87.10	$87.10	$125.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $346.74 / $870.96	Professional		$269.15	$346.74	$870.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $91.20 / $165.96	Professional	26	$74.13	$91.20	$165.96
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $234.42 / $398.11	Professional	TC	$194.98	$234.42	$398.11
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $281.84 / $281.84	Professional		$173.78	$281.84	$281.84
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $109.65 / $158.49	Professional	26	$63.10	$109.65	$158.49
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $229.09 / $354.81	Professional	TC	$141.25	$229.09	$354.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $389.05 / $575.44	Professional		$281.84	$389.05	$575.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $109.65 / $162.18	Professional	26	$83.18	$109.65	$162.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $281.84 / $407.38	Professional	TC	$194.98	$281.84	$407.38
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $288.40 / $457.09	Professional		$12.02	$288.40	$457.09
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $131.83 / $141.25	Professional	26	$131.83	$131.83	$141.25
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $316.23 / $323.59	Professional	TC	$316.23	$316.23	$323.59
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $380.19 / $575.44	Professional		$281.84	$380.19	$575.44
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $117.49 / $181.97	Professional	26	$87.10	$117.49	$181.97
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $251.19 / $363.08	Professional	TC	$169.82	$251.19	$363.08
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Facility	26	$87.10	$87.10	$87.10
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $346.74 / $794.33	Professional		$269.15	$346.74	$794.33
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $91.20 / $177.83	Professional	26	$74.13	$91.20	$177.83
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $251.19 / $524.81	Professional	TC	$194.98	$251.19	$524.81
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $416.87 / $575.44	Professional		$407.38	$416.87	$575.44
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $83.18 / $83.18 / $117.49	Facility	26	$83.18	$83.18	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $309.03 / $707.95	Professional		$208.93	$309.03	$707.95
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $83.18 / $85.11	Professional	26	$79.43	$83.18	$85.11
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $208.93 / $229.09	Professional	TC	$204.17	$208.93	$229.09
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $338.84 / $562.34	Professional		$234.42	$338.84	$562.34
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $100.00 / $169.82	Professional	26	$72.44	$100.00	$169.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $239.88 / $407.38	Professional	TC	$173.78	$239.88	$407.38

Pennsylvania rates for HCPCS 51726