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 $9.55 / $25.12 / $35.48	Facility	26	$9.55	$25.12	$35.48
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $20.42 / $47.86	Professional		$14.79	$20.42	$47.86
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $12.59 / $30.20	Professional	26	$7.94	$12.59	$30.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $6.03 / $10.00 / $20.89	Professional	TC	$6.03	$10.00	$20.89
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $15.14 / $28.84	Professional		$15.14	$15.14	$28.84
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $14.79 / $19.50	Professional	26	$12.02	$14.79	$19.50
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $23.44 / $50.12	Professional		$18.62	$23.44	$50.12
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $12.30 / $23.44	Professional	26	$10.00	$12.30	$23.44
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $8.51 / $10.47 / $26.30	Professional	TC	$8.51	$10.47	$26.30
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $26.92 / $42.66	Professional		$16.60	$26.92	$42.66
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $12.30 / $20.42	Professional	26	$7.94	$12.30	$20.42
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.76 / $13.80 / $25.12	Professional	TC	$7.76	$13.80	$25.12
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $26.92 / $33.11	Professional		$19.95	$26.92	$33.11
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $13.80 / $16.22	Professional	26	$10.23	$13.80	$16.22
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $9.77 / $12.88 / $16.60	Professional	TC	$9.77	$12.88	$16.60
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $26.30 / $46.77	Professional		$20.42	$26.30	$46.77
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $11.75 / $21.38	Professional	26	$8.13	$11.75	$21.38
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $9.33 / $14.45 / $24.55	Professional	TC	$9.33	$14.45	$24.55
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $10.96 / $26.92	Professional	26	$10.23	$10.96	$26.92
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $14.79 / $35.48	Facility	26	$9.55	$14.79	$35.48
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $21.38 / $52.48	Professional		$15.14	$21.38	$52.48
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $10.47 / $23.99	Professional	26	$7.94	$10.47	$23.99
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $6.03 / $10.47 / $25.12	Professional	TC	$6.03	$10.47	$25.12
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $43.65 / $48.98	Professional		$34.67	$43.65	$48.98
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $9.55 / $25.12	Facility	26	$9.55	$9.55	$25.12
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $21.88 / $56.23	Professional		$9.55	$21.88	$56.23
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $9.55 / $25.12	Professional	26	$9.33	$9.55	$25.12
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.76 / $7.94 / $19.95	Professional	TC	$7.76	$7.94	$19.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $23.44 / $38.90	Professional		$16.60	$23.44	$38.90
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $11.75 / $21.38	Professional	26	$8.13	$11.75	$21.38
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.41 / $10.72 / $21.88	Professional	TC	$7.41	$10.72	$21.88

Pennsylvania rates for HCPCS 70355