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 $9.33 / $19.05 / $39.81	Facility	26	$9.33	$19.05	$39.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $47.86 / $144.54	Professional		$30.90	$47.86	$144.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $15.14 / $37.15	Professional	26	$8.91	$15.14	$37.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $30.90 / $64.57	Professional	TC	$20.89	$30.90	$64.57
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $25.12 / $48.98	Professional		$25.12	$25.12	$48.98
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $14.79 / $16.60	Professional	26	$7.08	$14.79	$16.60
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $47.86 / $56.23	Professional		$47.86	$47.86	$56.23
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $46.77 / $89.13	Professional		$36.31	$46.77	$89.13
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $14.79 / $29.51	Professional	26	$10.47	$14.79	$29.51
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $30.90 / $57.54	Professional	TC	$26.30	$30.90	$57.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $46.77 / $72.44	Professional		$30.20	$46.77	$72.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $14.45 / $23.44	Professional	26	$8.51	$14.45	$23.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $33.88 / $52.48	Professional	TC	$21.38	$33.88	$52.48
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $52.48 / $64.57	Professional		$38.90	$52.48	$64.57
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $14.13 / $16.98	Professional	26	$10.47	$14.13	$16.98
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $38.02 / $47.86	Professional	TC	$28.84	$38.02	$47.86
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $43.65 / $77.62	Professional		$32.36	$43.65	$77.62
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $13.18 / $22.39	Professional	26	$10.00	$13.18	$22.39
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $30.90 / $56.23	Professional	TC	$21.38	$30.90	$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 $11.48 / $12.30 / $15.85	Professional	26	$11.48	$12.30	$15.85
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $42.66 / $42.66	Professional	TC	$42.66	$42.66	$42.66
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $47.86 / $60.26	Professional		$43.65	$47.86	$60.26
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.33 / $13.49 / $30.20	Facility	26	$9.33	$13.49	$30.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $42.66 / $85.11	Professional		$30.90	$42.66	$85.11
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $23.44	Professional	26	$8.91	$12.59	$23.44
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $30.90 / $60.26	Professional	TC	$21.88	$30.90	$60.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $61.66 / $93.33	Professional		$57.54	$61.66	$93.33
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.23 / $10.23 / $13.49	Facility	26	$10.23	$10.23	$13.49
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $26.92 / $91.20	Professional		$16.60	$26.92	$91.20
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.23 / $13.49	Professional	26	$10.00	$10.23	$13.49
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $25.70 / $30.20	Professional	TC	$25.12	$25.70	$30.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $41.69 / $74.13	Professional		$31.62	$41.69	$74.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $12.88 / $25.70	Professional	26	$9.12	$12.88	$25.70
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $28.84 / $56.23	Professional	TC	$21.38	$28.84	$56.23

Pennsylvania rates for HCPCS 70220