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 $112.20 / $154.88 / $154.88	Facility	26	$112.20	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $380.19 / $954.99	Professional		$323.59	$380.19	$954.99
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $112.20 / $204.17	Professional	26	$93.33	$112.20	$204.17
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $251.19 / $407.38	Professional	TC	$208.93	$251.19	$407.38
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $158.49 / $213.80	Professional	26	$93.33	$158.49	$213.80
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $323.59 / $426.58	Professional	TC	$199.53	$323.59	$426.58
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $407.38 / $645.65	Professional		$316.23	$407.38	$645.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $141.25 / $204.17	Professional	26	$104.71	$141.25	$204.17
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $269.15 / $446.68	Professional	TC	$208.93	$269.15	$446.68
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $562.34	Professional		$549.54	$549.54	$562.34
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $165.96 / $165.96 / $177.83	Professional	26	$165.96	$165.96	$177.83
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $380.19 / $380.19 / $389.05	Professional	TC	$380.19	$380.19	$389.05
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $436.52 / $630.96	Professional		$295.12	$436.52	$630.96
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $144.54 / $213.80	Professional	26	$107.15	$144.54	$213.80
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $295.12 / $398.11	Professional	TC	$181.97	$295.12	$398.11
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $112.20 / $154.88 / $154.88	Facility	26	$112.20	$154.88	$154.88
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $380.19 / $954.99	Professional		$316.23	$380.19	$954.99
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $112.20 / $169.82	Professional	26	$93.33	$112.20	$169.82
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $257.04 / $380.19	Professional	TC	$218.78	$257.04	$380.19
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $501.19 / $691.83	Professional		$363.08	$501.19	$691.83
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $102.33 / $102.33 / $109.65	Facility	26	$102.33	$102.33	$109.65
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $323.59 / $467.74	Professional		$281.84	$323.59	$467.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $104.71 / $109.65	Professional	26	$100.00	$104.71	$109.65
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $251.19 / $275.42	Professional	TC	$177.83	$251.19	$275.42
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $371.54 / $676.08	Professional		$275.42	$371.54	$676.08
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $128.82 / $213.80	Professional	26	$93.33	$128.82	$213.80
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $251.19 / $457.09	Professional	TC	$186.21	$251.19	$457.09

Pennsylvania rates for HCPCS 51727