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 $11.48 / $23.44 / $42.66	Facility	26	$11.48	$23.44	$42.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $58.88 / $169.82	Professional		$37.15	$58.88	$169.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $16.98 / $40.74	Professional	26	$10.00	$16.98	$40.74
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $35.48 / $77.62	Professional	TC	$25.70	$35.48	$77.62
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $8.51 / $8.51	Professional	26	$8.51	$8.51	$8.51
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $21.88 / $21.88	Professional	TC	$21.88	$21.88	$21.88
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $50.12 / $79.43	Professional		$44.67	$50.12	$79.43
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $15.49 / $29.51	Professional	26	$12.30	$15.49	$29.51
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $35.48 / $57.54	Professional	TC	$32.36	$35.48	$57.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $52.48 / $87.10	Professional		$35.48	$52.48	$87.10
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $15.49 / $25.12	Professional	26	$9.77	$15.49	$25.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $38.02 / $64.57	Professional	TC	$25.12	$38.02	$64.57
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $64.57 / $79.43	Professional		$47.86	$64.57	$79.43
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $16.98 / $19.95	Professional	26	$12.59	$16.98	$19.95
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $46.77 / $58.88	Professional	TC	$35.48	$46.77	$58.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $50.12 / $91.20	Professional		$33.11	$50.12	$91.20
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $14.45 / $26.30	Professional	26	$10.47	$14.45	$26.30
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $36.31 / $67.61	Professional	TC	$22.39	$36.31	$67.61
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $56.23 / $58.88	Professional		$51.29	$56.23	$58.88
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $14.13 / $18.62	Professional	26	$13.49	$14.13	$18.62
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.22 / $18.20 / $36.31	Facility	26	$11.22	$18.20	$36.31
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $53.70 / $100.00	Professional		$38.02	$53.70	$100.00
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $14.79 / $26.92	Professional	26	$10.00	$14.79	$26.92
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $38.90 / $72.44	Professional	TC	$26.92	$38.90	$72.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $70.79 / $102.33	Professional		$57.54	$70.79	$102.33
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.30 / $12.30 / $14.13	Facility	26	$12.30	$12.30	$14.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $28.18 / $45.71	Professional		$9.77	$28.18	$45.71
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.30 / $14.13	Professional	26	$12.02	$12.30	$14.13
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $32.36 / $36.31	Professional	TC	$30.20	$32.36	$36.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $48.98 / $91.20	Professional		$36.31	$48.98	$91.20
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $14.79 / $30.20	Professional	26	$10.23	$14.79	$30.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $35.48 / $67.61	Professional	TC	$25.70	$35.48	$67.61

Pennsylvania rates for HCPCS 70150