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 $257.04 / $2,344.23 / $7,762.47	Facility		$257.04	$2,344.23	$7,762.47
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $41.69 / $57.54 / $58.88	Facility	26	$41.69	$57.54	$58.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $239.88 / $575.44	Professional		$151.36	$239.88	$575.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $52.48 / $125.89	Professional	26	$37.15	$52.48	$125.89
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $141.25 / $257.04	Professional	TC	$87.10	$141.25	$257.04
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $245.47	Professional		$123.03	$123.03	$245.47
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,890.45 / $3,981.07 / $10,471.29	Facility		$3,890.45	$3,981.07	$10,471.29
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $173.78	Professional		$151.36	$151.36	$173.78
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 $162.18 / $190.55 / $288.40	Professional		$162.18	$190.55	$288.40
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $58.88 / $74.13	Professional	26	$34.67	$58.88	$74.13
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $125.89 / $223.87	Professional	TC	$104.71	$125.89	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $213.80 / $380.19	Professional		$147.91	$213.80	$380.19
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $57.54 / $107.15	Professional	26	$38.90	$57.54	$107.15
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $154.88 / $281.84	Professional	TC	$95.50	$154.88	$281.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $263.03 / $288.40	Professional		$30.20	$263.03	$288.40
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $61.66 / $66.07	Professional	26	$61.66	$61.66	$66.07
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $194.98 / $199.53	Professional	TC	$194.98	$194.98	$199.53
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $245.47 / $363.08	Professional		$151.36	$245.47	$363.08
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $66.07 / $112.20	Professional	26	$42.66	$66.07	$112.20
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $177.83 / $269.15	Professional	TC	$112.20	$177.83	$269.15
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $234.42 / $562.34	Facility		$109.65	$234.42	$562.34
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $331.13 / $338.84	Professional		$234.42	$331.13	$338.84
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,890.45 / $3,981.07 / $10,471.29	Facility		$3,890.45	$3,981.07	$10,471.29
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $173.78	Professional		$151.36	$151.36	$173.78
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,819.70 / $6,606.93	Facility		$537.03	$1,819.70	$6,606.93
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $41.69 / $57.54 / $58.88	Facility	26	$41.69	$57.54	$58.88
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $218.78 / $501.19	Professional		$151.36	$218.78	$501.19
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $50.12 / $95.50	Professional	26	$36.31	$50.12	$95.50
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $162.18 / $346.74	Professional	TC	$107.15	$162.18	$346.74
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $302.00 / $331.13	Professional		$204.17	$302.00	$331.13
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $162.18 / $302.00	Facility		$40.74	$162.18	$302.00
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $38.90 / $123.03	Facility	26	$38.90	$38.90	$123.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $134.90 / $204.17	Professional		$40.74	$134.90	$204.17
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $38.90 / $39.81	Professional	26	$37.15	$38.90	$39.81
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $144.54 / $162.18	Professional	TC	$141.25	$144.54	$162.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $630.96 / $4,466.84	Facility		$162.18	$630.96	$4,466.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $194.98 / $316.23	Professional		$134.90	$194.98	$316.23
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $48.98 / $89.13	Professional	26	$34.67	$48.98	$89.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $141.25 / $239.88	Professional	TC	$97.72	$141.25	$239.88

Pennsylvania rates for HCPCS 51797