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 $12.59 / $26.30 / $45.71	Facility	26	$12.59	$26.30	$45.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $50.12 / $138.04	Professional		$37.15	$50.12	$138.04
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $16.98 / $33.88	Professional	26	$10.96	$16.98	$33.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $34.67 / $69.18	Professional	TC	$25.12	$34.67	$69.18
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $51.29 / $81.28	Professional		$45.71	$51.29	$81.28
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $16.98 / $32.36	Professional	26	$13.49	$16.98	$32.36
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 $36.31 / $53.70 / $89.13	Professional		$36.31	$53.70	$89.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $16.60 / $26.92	Professional	26	$10.47	$16.60	$26.92
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $38.02 / $64.57	Professional	TC	$24.55	$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 $13.18 / $17.78 / $20.89	Professional	26	$13.18	$17.78	$20.89
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 $33.88 / $51.29 / $91.20	Professional		$33.88	$51.29	$91.20
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $15.85 / $28.18	Professional	26	$11.22	$15.85	$28.18
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $35.48 / $67.61	Professional	TC	$22.39	$35.48	$67.61
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $52.48 / $57.54	Professional		$52.48	$52.48	$57.54
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $16.22 / $21.88	Professional	26	$7.41	$16.22	$21.88
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.02 / $19.05 / $45.71	Facility	26	$12.02	$19.05	$45.71
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $50.12 / $104.71	Professional		$37.15	$50.12	$104.71
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $14.79 / $30.20	Professional	26	$10.96	$14.79	$30.20
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $36.31 / $75.86	Professional	TC	$25.70	$36.31	$75.86
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $70.79 / $104.71	Professional		$58.88	$70.79	$104.71
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.18 / $13.18 / $15.14	Facility	26	$13.18	$13.18	$15.14
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $28.84 / $74.13	Professional		$10.47	$28.84	$74.13
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $13.18 / $15.14	Professional	26	$12.88	$13.18	$15.14
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 $37.15 / $50.12 / $91.20	Professional		$37.15	$50.12	$91.20
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $15.49 / $31.62	Professional	26	$11.22	$15.49	$31.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $34.67 / $61.66	Professional	TC	$25.12	$34.67	$61.66

Pennsylvania rates for HCPCS 70200