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 $93.33 / $295.12 / $676.08	Facility		$93.33	$295.12	$676.08
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $54.95 / $72.44	Facility	26	$38.90	$54.95	$72.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $83.18 / $316.23	Professional		$40.74	$83.18	$316.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $46.77 / $117.49	Professional	26	$33.11	$46.77	$117.49
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $33.11 / $165.96	Professional	TC	$25.12	$33.11	$165.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $32.36 / $75.86	Professional		$31.62	$32.36	$75.86
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $39.81 / $46.77	Professional	26	$38.02	$39.81	$46.77
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $16.60 / $16.60	Professional	TC	$16.60	$16.60	$16.60
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $794.33 / $3,981.07	Facility		$575.44	$794.33	$3,981.07
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $100.00	Professional		$93.33	$93.33	$100.00
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 $66.07 / $69.18 / $109.65	Professional		$66.07	$69.18	$109.65
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $39.81 / $77.62	Professional	26	$38.90	$39.81	$77.62
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $28.84 / $93.33	Professional	TC	$28.18	$28.84	$93.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $190.55 / $316.23	Professional		$64.57	$190.55	$316.23
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $77.62 / $128.82	Professional	26	$37.15	$77.62	$128.82
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $117.49 / $204.17	Professional	TC	$28.18	$117.49	$204.17
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $102.33 / $138.04	Professional		$67.61	$102.33	$138.04
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $56.23 / $75.86	Professional	26	$37.15	$56.23	$75.86
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $46.77 / $61.66	Professional	TC	$30.90	$46.77	$61.66
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $95.50 / $257.04	Professional		$66.07	$95.50	$257.04
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $54.95 / $107.15	Professional	26	$37.15	$54.95	$107.15
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $40.74 / $173.78	Professional	TC	$28.18	$40.74	$173.78
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $199.53 / $257.04	Facility		$162.18	$199.53	$257.04
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $204.17	Professional		$81.28	$81.28	$204.17
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $691.83 / $3,890.45	Facility		$478.63	$691.83	$3,890.45
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $102.33	Professional		$93.33	$93.33	$102.33
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $93.33 / $128.82	Facility		$69.18	$93.33	$128.82
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $54.95 / $72.44	Facility	26	$38.90	$54.95	$72.44
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $112.20 / $309.03	Professional		$63.10	$112.20	$309.03
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $61.66 / $117.49	Professional	26	$36.31	$61.66	$117.49
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $46.77 / $186.21	Professional	TC	$25.70	$46.77	$186.21
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $251.19 / $407.38	Professional		$117.49	$251.19	$407.38
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $79.43 / $407.38	Facility		$26.30	$79.43	$407.38
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $36.31 / $36.31 / $83.18	Facility	26	$36.31	$36.31	$83.18
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $51.29 / $204.17	Professional		$26.30	$51.29	$204.17
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $36.31 / $83.18	Professional	26	$34.67	$36.31	$83.18
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $25.70 / $123.03	Professional	TC	$25.12	$25.70	$123.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $457.09 / $3,890.45	Facility		$223.87	$457.09	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $93.33 / $275.42	Professional		$64.57	$93.33	$275.42
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $53.70 / $97.72	Professional	26	$35.48	$53.70	$97.72
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $38.90 / $173.78	Professional	TC	$26.92	$38.90	$173.78

Pennsylvania rates for HCPCS 51784