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 $24.55 / $33.88 / $52.48	Facility	26	$24.55	$33.88	$52.48
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $83.18 / $213.80	Professional		$44.67	$83.18	$213.80
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $53.70 / $144.54	Professional	26	$26.92	$53.70	$144.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $69.18 / $93.33	Professional		$60.26	$69.18	$93.33
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $43.65 / $57.54	Professional	26	$35.48	$43.65	$57.54
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $66.07	Professional		$51.29	$51.29	$66.07
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $30.90 / $35.48	Professional	26	$26.30	$30.90	$35.48
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $77.62 / $91.20	Professional		$50.12	$77.62	$91.20
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $46.77 / $70.79	Professional	26	$25.70	$46.77	$70.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $60.26 / $91.20	Professional		$47.86	$60.26	$91.20
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $38.90 / $57.54	Professional	26	$28.84	$38.90	$57.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $89.13	Professional		$81.28	$81.28	$89.13
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $46.77 / $51.29	Professional	26	$46.77	$46.77	$51.29
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $66.07 / $91.20	Professional		$42.66	$66.07	$91.20
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $40.74 / $63.10	Professional	26	$30.20	$40.74	$63.10
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $48.98 / $51.29	Professional	26	$30.90	$48.98	$51.29
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $58.88	Professional		$51.29	$51.29	$58.88
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $30.90 / $35.48	Professional	26	$30.90	$30.90	$35.48
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $24.55 / $33.88 / $52.48	Facility	26	$24.55	$33.88	$52.48
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $56.23 / $107.15	Professional		$40.74	$56.23	$107.15
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $33.11 / $60.26	Professional	26	$24.55	$33.11	$60.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $75.86 / $104.71	Professional		$52.48	$75.86	$104.71
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.18 / $39.81 / $39.81	Facility	26	$28.18	$39.81	$39.81
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $54.95 / $100.00	Professional		$14.79	$54.95	$100.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $28.84 / $39.81	Professional	26	$26.92	$28.84	$39.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $53.70 / $93.33	Professional		$41.69	$53.70	$93.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $35.48 / $58.88	Professional	26	$26.92	$35.48	$58.88

Pennsylvania rates for HCPCS 59025