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 $91.20 / $109.65 / $109.65	Facility	26	$91.20	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $467.74 / $1,479.11	Professional		$323.59	$467.74	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $125.89 / $309.03	Professional	26	$95.50	$125.89	$309.03
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $151.36 / $281.84 / $323.59	Professional	52	$151.36	$281.84	$323.59
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $263.03 / $478.63	Professional	TC	$208.93	$263.03	$478.63
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $501.19	Professional		$269.15	$269.15	$501.19
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $426.58 / $758.58	Professional		$426.58	$426.58	$758.58
AmeriHealth Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $426.58 / $426.58 / $758.58	Professional	52	$426.58	$426.58	$758.58
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 $91.20 / $154.88 / $208.93	Professional	26	$91.20	$154.88	$208.93
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $331.13 / $426.58	Professional	TC	$199.53	$331.13	$426.58
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $407.38 / $645.65	Professional		$323.59	$407.38	$645.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $138.04 / $204.17	Professional	26	$102.33	$138.04	$204.17
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $275.42 / $457.09	Professional	TC	$208.93	$275.42	$457.09
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $575.44	Professional		$549.54	$549.54	$575.44
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $165.96 / $165.96 / $173.78	Professional	26	$165.96	$165.96	$173.78
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $389.05 / $389.05 / $398.11	Professional	TC	$389.05	$389.05	$398.11
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $446.68 / $630.96	Professional		$295.12	$446.68	$630.96
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $144.54 / $208.93	Professional	26	$107.15	$144.54	$208.93
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $302.00 / $416.87	Professional	TC	$181.97	$302.00	$416.87
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $426.58 / $489.78	Professional		$426.58	$426.58	$489.78
Independence Blue Cross Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $426.58 / $426.58 / $489.78	Professional	52	$426.58	$426.58	$489.78
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $91.20 / $91.20 / $109.65	Facility	26	$91.20	$91.20	$109.65
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $436.52 / $912.01	Professional		$323.59	$436.52	$912.01
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $125.89 / $245.47	Professional	26	$95.50	$125.89	$245.47
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $302.00 / $630.96	Professional	TC	$229.09	$302.00	$630.96
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $512.86 / $707.95	Professional		$281.84	$512.86	$707.95
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $109.65	Facility	26	$100.00	$100.00	$109.65
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $354.81 / $537.03	Professional		$128.82	$354.81	$537.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $102.33 / $109.65	Professional	26	$97.72	$102.33	$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 / $380.19 / $676.08	Professional		$275.42	$380.19	$676.08
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $125.89 / $213.80	Professional	26	$91.20	$125.89	$213.80
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $257.04 / $467.74	Professional	TC	$190.55	$257.04	$467.74

Pennsylvania rates for HCPCS 51728