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 $7.76 / $15.85 / $28.84	Facility	26	$7.76	$15.85	$28.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $47.86 / $158.49	Professional		$30.20	$47.86	$158.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $13.80 / $28.84	Professional	26	$7.08	$13.80	$28.84
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $31.62 / $64.57	Professional	TC	$21.88	$31.62	$64.57
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $42.66	Professional		$35.48	$35.48	$42.66
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.75 / $8.91 / $13.18	Professional	26	$5.75	$8.91	$13.18
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Professional	TC	$30.90	$30.90	$30.90
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $10.47 / $12.88	Professional	26	$10.47	$10.47	$12.88
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $38.02 / $64.57	Professional		$36.31	$38.02	$64.57
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $10.47 / $19.95	Professional	26	$8.32	$10.47	$19.95
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $30.20 / $50.12	Professional	TC	$28.18	$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 $6.61 / $10.47 / $16.60	Professional	26	$6.61	$10.47	$16.60
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 $38.90 / $51.29 / $64.57	Professional		$38.90	$51.29	$64.57
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $11.48 / $13.80	Professional	26	$8.51	$11.48	$13.80
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $39.81 / $50.12	Professional	TC	$30.20	$39.81	$50.12
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $38.90 / $70.79	Professional		$21.88	$38.90	$70.79
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.00 / $17.78	Professional	26	$7.08	$10.00	$17.78
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $30.20 / $56.23	Professional	TC	$14.79	$30.20	$56.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $45.71 / $47.86	Professional		$41.69	$45.71	$47.86
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $9.77 / $12.88	Professional	26	$8.71	$9.77	$12.88
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $41.69 / $41.69	Professional	TC	$36.31	$41.69	$41.69
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.47 / $13.49	Professional	26	$10.00	$10.47	$13.49
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $12.30 / $24.55	Facility	26	$7.59	$12.30	$24.55
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $42.66 / $81.28	Professional		$30.20	$42.66	$81.28
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.00 / $18.20	Professional	26	$7.08	$10.00	$18.20
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $32.36 / $60.26	Professional	TC	$22.39	$32.36	$60.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $53.70 / $77.62	Professional		$38.90	$53.70	$77.62
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.32 / $8.32 / $9.55	Facility	26	$8.32	$8.32	$9.55
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $19.95 / $37.15	Professional		$15.85	$19.95	$37.15
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $8.32 / $9.55	Professional	26	$8.13	$8.32	$9.55
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $28.18 / $31.62	Professional	TC	$19.50	$28.18	$31.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $38.02 / $70.79	Professional		$26.92	$38.02	$70.79
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $9.77 / $21.38	Professional	26	$6.76	$9.77	$21.38
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $29.51 / $58.88	Professional	TC	$19.50	$29.51	$58.88

Pennsylvania rates for HCPCS 70160