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 $12.02 / $24.55 / $52.48	Facility	26	$12.02	$24.55	$52.48
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.92 / $85.11 / $426.58	Facility	TC	$26.92	$85.11	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $51.29 / $141.25	Professional		$36.31	$51.29	$141.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $21.38 / $54.95	Professional	26	$10.96	$21.38	$54.95
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $33.11 / $63.10	Professional	TC	$23.99	$33.11	$63.10
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $15.85 / $19.05	Professional	26	$8.91	$15.85	$19.05
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $134.90 / $186.21 / $269.15	Facility	TC	$134.90	$186.21	$269.15
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $56.23 / $109.65	Professional		$43.65	$56.23	$109.65
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $17.38 / $40.74	Professional	26	$13.49	$17.38	$40.74
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $35.48 / $64.57	Professional	TC	$30.20	$35.48	$64.57
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $57.54 / $89.13	Professional		$35.48	$57.54	$89.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $19.50 / $31.62	Professional	26	$11.22	$19.50	$31.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $38.90 / $60.26	Professional	TC	$24.55	$38.90	$60.26
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $60.26 / $74.13	Professional		$44.67	$60.26	$74.13
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 $32.36 / $42.66 / $53.70	Professional	TC	$32.36	$42.66	$53.70
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Facility	TC	$52.48	$52.48	$52.48
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $52.48 / $91.20	Professional		$38.90	$52.48	$91.20
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $17.78 / $28.84	Professional	26	$12.88	$17.78	$28.84
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $34.67 / $63.10	Professional	TC	$24.55	$34.67	$63.10
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $199.53 / $389.05 / $1,318.26	Facility	TC	$199.53	$389.05	$1,318.26
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $52.48 / $53.70	Professional		$48.98	$52.48	$53.70
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $16.22 / $26.30	Professional	26	$14.13	$16.22	$26.30
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $22.39 / $22.39	Professional	TC	$22.39	$22.39	$22.39
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.02 / $19.05 / $38.90	Facility	26	$12.02	$19.05	$38.90
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.92 / $44.67 / $102.33	Facility	TC	$26.92	$44.67	$102.33
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $51.29 / $107.15	Professional		$37.15	$51.29	$107.15
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $16.60 / $34.67	Professional	26	$10.96	$16.60	$34.67
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $34.67 / $72.44	Professional	TC	$25.12	$34.67	$72.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $75.86 / $112.20	Professional		$69.18	$75.86	$112.20
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.18 / $13.18 / $18.20	Facility	26	$13.18	$13.18	$18.20
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $29.51 / $29.51 / $34.67	Facility	TC	$29.51	$29.51	$34.67
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $28.18 / $51.29	Professional		$8.71	$28.18	$51.29
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $13.18 / $18.20	Professional	26	$12.88	$13.18	$18.20
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $29.51 / $34.67	Professional	TC	$28.84	$29.51	$34.67
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $50.12 / $89.13	Professional		$38.02	$50.12	$89.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $16.60 / $33.11	Professional	26	$12.30	$16.60	$33.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $33.11 / $56.23	Professional	TC	$25.12	$33.11	$56.23

Pennsylvania rates for HCPCS 70260