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 / $15.49 / $28.84	Facility	26	$7.76	$15.49	$28.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $38.90 / $131.83	Professional		$25.12	$38.90	$131.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $14.79 / $29.51	Professional	26	$7.08	$14.79	$29.51
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $24.55 / $58.88	Professional	TC	$16.98	$24.55	$58.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $26.92 / $35.48	Professional		$26.92	$26.92	$35.48
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $12.88 / $13.49	Professional	26	$6.03	$12.88	$13.49
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $26.30 / $33.88	Professional	TC	$19.50	$26.30	$33.88
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $47.86	Professional		$39.81	$39.81	$47.86
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $10.96 / $13.80	Professional	26	$10.96	$10.96	$13.80
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $36.31 / $56.23	Professional		$30.20	$36.31	$56.23
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $10.72 / $19.95	Professional	26	$8.71	$10.72	$19.95
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $25.70 / $38.02	Professional	TC	$21.38	$25.70	$38.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $33.11 / $57.54	Professional		$22.91	$33.11	$57.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $10.47 / $17.38	Professional	26	$6.61	$10.47	$17.38
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $23.44 / $41.69	Professional	TC	$16.22	$23.44	$41.69
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $42.66 / $52.48	Professional		$32.36	$42.66	$52.48
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $11.75 / $14.13	Professional	26	$8.71	$11.75	$14.13
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $30.90 / $38.90	Professional	TC	$23.44	$30.90	$38.90
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $32.36 / $60.26	Professional		$19.05	$32.36	$60.26
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.23 / $18.20	Professional	26	$7.08	$10.23	$18.20
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.30 / $23.44 / $42.66	Professional	TC	$12.30	$23.44	$42.66
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $38.02 / $39.81	Professional		$26.92	$38.02	$39.81
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $10.47 / $15.14	Professional	26	$9.55	$10.47	$15.14
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	TC	$27.54	$27.54	$27.54
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $39.81 / $50.12	Professional		$35.48	$39.81	$50.12
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.96 / $13.80	Professional	26	$10.00	$10.96	$13.80
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.76 / $11.75 / $25.70	Facility	26	$7.76	$11.75	$25.70
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $35.48 / $69.18	Professional		$25.12	$35.48	$69.18
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.23 / $19.05	Professional	26	$7.08	$10.23	$19.05
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $25.12 / $50.12	Professional	TC	$17.78	$25.12	$50.12
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $45.71 / $66.07	Professional		$33.11	$45.71	$66.07
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.71 / $8.71 / $9.55	Facility	26	$8.71	$8.71	$9.55
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $19.95 / $50.12	Professional		$12.88	$19.95	$50.12
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $8.71 / $9.55	Professional	26	$8.32	$8.71	$9.55
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $21.88 / $23.99	Professional	TC	$15.85	$21.88	$23.99
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $31.62 / $63.10	Professional		$22.91	$31.62	$63.10
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.23 / $20.89	Professional	26	$7.08	$10.23	$20.89
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $22.39 / $40.74	Professional	TC	$15.49	$22.39	$40.74

Pennsylvania rates for HCPCS 70360