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 $7.94 / $20.42 / $31.62	Facility	26	$7.94	$20.42	$31.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $38.02 / $81.28	Professional		$28.18	$38.02	$81.28
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.00 / $23.44	Professional	26	$7.08	$10.00	$23.44
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $28.18 / $54.95	Professional	TC	$20.89	$28.18	$54.95
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $14.45 / $14.45	Professional	26	$14.45	$14.45	$14.45
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $38.90 / $64.57	Professional		$37.15	$38.90	$64.57
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $10.96 / $20.89	Professional	26	$8.71	$10.96	$20.89
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $30.20 / $50.12	Professional	TC	$28.84	$30.20	$50.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $39.81 / $70.79	Professional		$26.92	$39.81	$70.79
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $10.72 / $17.38	Professional	26	$6.92	$10.72	$17.38
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $30.20 / $54.95	Professional	TC	$20.42	$30.20	$54.95
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $56.23 / $69.18	Professional		$41.69	$56.23	$69.18
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $12.30 / $14.79	Professional	26	$9.12	$12.30	$14.79
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $42.66 / $54.95	Professional	TC	$32.36	$42.66	$54.95
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $42.66 / $77.62	Professional		$22.39	$42.66	$77.62
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.47 / $19.05	Professional	26	$7.41	$10.47	$19.05
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $31.62 / $60.26	Professional	TC	$14.79	$31.62	$60.26
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $46.77	Professional		$42.66	$42.66	$46.77
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $10.23 / $14.45	Professional	26	$9.55	$10.23	$14.45
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.76 / $13.18 / $30.20	Facility	26	$7.76	$13.18	$30.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $39.81 / $87.10	Professional		$28.84	$39.81	$87.10
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $9.33 / $20.89	Professional	26	$7.08	$9.33	$20.89
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $30.20 / $64.57	Professional	TC	$21.88	$30.20	$64.57
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $54.95 / $79.43	Professional		$38.90	$54.95	$79.43
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.71 / $8.71 / $10.00	Facility	26	$8.71	$8.71	$10.00
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $20.42 / $54.95	Professional		$16.60	$20.42	$54.95
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $8.71 / $10.00	Professional	26	$8.32	$8.71	$10.00
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $28.18 / $31.62	Professional	TC	$19.95	$28.18	$31.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $38.90 / $72.44	Professional		$26.30	$38.90	$72.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $10.23 / $18.62	Professional	26	$7.24	$10.23	$18.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $28.18 / $52.48	Professional	TC	$19.05	$28.18	$52.48

Pennsylvania rates for HCPCS 70100